Represents assigned business system or business process as a subject matter expert in business requirements, system specifications, process flows, process change and/or project management
Provides leadership to the business in the identification and adoption of operational best practices and standard operating procedures as it relates to assigned business system or business process
Independently researches, determines root cause and collaborates with others to resolve complex business and technical issues and customer inquiries.
Provides prompt and thorough resolution for client and/or member satisfaction
May facilitate testing for new or improved systems or processes including creation of a test plan, identifying test cases, and performing or leading User Acceptance and Joint Cycle Testing
May provide guidance, mentoring, and work direction to others on the team
Other duties as assigned
Minimum Qualifications
Bachelor’s degree in business administration, IT or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
5 years of work experience in business analysis, project management, and/or process improvement to include:
3 years of functional experience in at least one of the specific areas for position (e.g., claims, eligibility, product, benefits, implementations or related area)
Must be eligible to work in the United States without need for work visa or residency sponsorship
Manages and develops budgets to support quality and performance metrics.
Develops and implements short- and long-term plans, and objectives to improve the quality of documentation and coded data to ensure appropriate revenue.
Assesses data development and collection according to organization needs to support revenue cycle initiatives and key performance indicators.
Provides oversight for the collection and submission of audit data.
Maintains knowledge of coding and billing requirements and regulatory changes and acts as a resource to the coding and health information management staff.
Analyzes and interprets coding data to identify problems or trends.
Oversees the development and delivery of educational sessions to coding team, medical staff and other clinical teams.
Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
MINIMUM QUALIFICATIONS
Bachelor’s Degree in related field
Minimum 7 years of relevant experience
RHIT or RHIA Certification in a relevant specialty or field
Knowledge of business and management principles
Ability to direct, manage, implement, and evaluate department operations.
Ability to establish department goals and objectives that support the strategic plan.
Ability to effectively plan, delegate and/or supervise the work of others.
Ability to lead, motivate, develop and train others.
Processes electronic 835’s and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, contractual allowances, recoups and forward balancing
Interprets Explanation of Benefits (EOB) remittance codes and applies correct denial codes.
Balances and closes payment batches timely
Navigate websites to obtain EOBs
Performs special projects and other duties as assigned
Education and Experience Requirements
High School Diploma or Equivalent
At least two (2) years of experience posting insurance payments in a healthcare setting
At least two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred
Knowledge, Skills, and Abilities
Knowledge of insurance payer types
Knowledge of Explanation of Benefits (EOB) statements
Strong balancing and reconciliation skills
Strong 10 Key calculator skills
Strong oral, written, and interpersonal communication skills
Strong mathematical skills
Strong time management skills
Strong organizational skills
Ability to read, understand, and apply state/federal laws, regulations, and policies
Ability to remain flexible and work within a collaborative and fast paced environment
Ability to communicate with diverse personalities in a tactful, mature, and professional manner
Reviews prospective and current learner documents to verify accuracy eligibility and completeness, necessary to draw Title IV and military funds.
Evaluates the accuracy of completed verification, professional judgment, C code reviews, Unusual Enrollment History (UEH), ISIR rejections, and resolves conflicting data.
Determines accuracy of packaging and disbursement.
Utilizes multiple databases and technology including Common Origination & Disbursement (COD), National Student Loan Data System (NSLDS), and Central Processing System (CPS) to ensure compliance with institutional and federal regulations.
Participates in the successful implementation of other functional projects as they arise.
Qualifications and Education Requirements
A high school diploma or general equivalent is required.
At least one year of experience in a professional environment that is highly regulated including finance, higher education, or medical field is required.
Demonstrated knowledge of Federal Student Aid and/or military funding is required.
Demonstrated proficiency in Microsoft Office applications is required.
Demonstrated experience in an institution of higher learning or student funding is preferred.
This position specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving as a subject matter expert on benefits and claim adjudication system coding setup.
Job Description
Analyzes new business requirements for benefit design changes to establish the appropriate solution.
Complies with standards set forth regarding benefit design and configuration including but not limited to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and National Council for Prescription Drug Programs (NCPDP).
Maintains technical documentation based on standard operating procedures.
Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.
Actively participates in and contributes to daily communications, team meetings and project/issue resolution.
Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests.
Maintains customer documentation that validates configuration.
Efficiently and effectively distributes tasks, using clear and concise instructions and expectations.
Completes deliverables independently and within an agile team setting.
Other duties as assigned.
Responsibilities
2+ years of experience in benefit plan configuration/analysis.
Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design and system application.
Advanced working knowledge of Microsoft office products (specifically Word, Access, Excel), including running queries and macros.
Maintains technical documentation based on standard operating procedures.
Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.
Actively participates in and contributes to daily communications, team meetings and project/issue resolution.
Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests.
Maintains customer documentation that validates configuration.
Efficiently and effectively distributes tasks, using clear and concise instructions and expectations.
Completes deliverables independently and within an agile team setting.
Other duties as assigned.
Responsibilities
2+ years of experience in benefit plan configuration/analysis.
Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design and system application.
Advanced working knowledge of Microsoft office products (specifically Word, Access, Excel), including running queries and macros.
Advanced knowledge of interpreting and understanding prescription benefits.
This role requires strong attention to detail, critical thinking and analytical skills
Ability to work within a team and as an individual contributor in a fast-paced, changing environment.
Strong sense of urgency leading to the timely completion of all projects, training and assignments.
Represents assigned business system or business process as a subject matter expert in the development of business requirements, system specifications, process flows, process change and/or project management
Participates in adopting operational best practices and standard operating procedures as it relates to assigned business system or business process
Works directly with business, IT, and users to support and improve existing applications and processes related to assigned business system
Independently, or with direction from an FBC or department leader, researches and resolves business and technical problems by identifying, evaluating, and implementing improvements to processes and applications
May conduct testing, including creation of a test plan, test cases, performing User Acceptance Testing and Joint Cycle Testing
Other duties as assigned
Minimum Qualifications
Bachelor’s degree in business administration, IT or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
3 years of work experience in business analysis, project management, and/or process improvement to include:
1 year of functional experience in at least one of the specific areas for position (e.g., claims, eligibility, product, benefits, implementations or area related to the department with which the position resides)
Must be eligible to work in the United States without need for work visa or residency sponsorship
Present audit conclusions and recommendations to senior management.
Develop new automated testing procedures using internal tools such as Tanium, Verdant, ServiceNow, and Ansible.
Create new work programs for emerging areas of Digital Technology such as Cloud Computing, Internet of Things (IoT) and Artificial Intelligence (AI).
Assist in efforts to modernize existing work programs to include automated testing procedures.
Continuous self-improvement including the addition of technical skills, as needed, based on department needs.
Demonstrate a commitment to diversity and act as a champion for change within the department and in partnership with other functions/businesses.
Travel to company locations as necessary (in the potential range of 5% – 30%).
Basic Qualifications:
Typically a minimum of 5+ years work experience and a Bachelor’s Degree or equivalent combination of related work experience and schooling in lieu of degree; Advanced degree and related work experience
Successful track record of Influencing parties within and outside of work area at an operational level regarding policies, risks, opportunities, areas for process improvements, practices and procedures.
Microsoft Office application including excel and powerpoint
Current U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.
Preferred Qualifications:
Certified Information Systems Auditor (CISA), Certified Information Security Manager (CISM), Certified Information Systems Security Professional (CISSP), or other relevant DT, cyber, or technical certifications.
Work effectively and communicate across all levels and functions within the business.
Strong interpersonal skills with the ability to work with diverse and remote teams.
Strong oral and written communication skills and proven presentation skills.
Strong analytical/problem solving and organizational skills.
Proactive and results driven with strong attention to detail and ability to work under pressure.
Experience writing scripts for Microsoft Active Directory, Windows Servers and PCs, Unix operating systems, and Visual Basic for Microsoft Office applications.
Experience using Tanium, Verdant, Archer GRC, and ServiceNow.
In this role of Information Security Officer you will be responsible for:
Proactive identification and mitigation of IT risks as well as responding to observations identified by third party auditors or examiners while assisting in the development of periodic reports and dashboards presenting the level of controls compliance and current IT risk posture.
Responsible for PCI-DSS 4.0 compliance (Level 1) company-wide.
Educating technical and non-technical team members across the company on security matters.
Regularly auditing all IT provided internal services including but not limited to hardware (computers, storage, and network equipment).
Assisting Company managers and staff with external audits and facilitate management response and remediation efforts. Ensure overall compliance with regulatory requirements through proactive planning and communication, ownership and relationships.
Coordinating the continuous development, implementation, and updating of security and privacy policies, standards, guidelines, baselines, processes and procedures in compliance with local, state, and federal regulations and standards for information systems.
Developing and managing the frameworks, processes, tools and consultancy necessary for the organization to properly manage risk and to make risk-based decisions related to IT activities.
Broadening and deepening knowledge of the business and technology environment with respect to the delivery of projects, strategic initiatives, and systems portfolio to effectively assist IT managers and staff with risk and compliance management.
Facilitating information systems security management education and training in regulatory and industry standards for all employees.
Remaining current on applicable international laws and regulations that may impact the Company.
To be successful in this role of Information Security Officer you will need the following experience and qualifications:
A Bachelor’s degree or equivalent in Computer Information Systems, Management Information Systems, or Computer Science.
A minimum of 5 years work experience with similar type of work.
Previous experience as a PCI Internal Security Assessor (ISA) or Qualified Security Assessor (QSA), or demonstrated experience performing such analysis and tasks for an organization.
Experience in risk, compliance and information security policy development.
Knowledge and understanding of corporate/industry information security, governance, risk and compliance practices and standards.
Knowledge of laws and regulations including but not limited to: CCA, GDPR and PCI-DSS 4.0.
Excellent organizational and communication skills (both oral and written).
Strong interpersonal skills and the ability to effectively communicate with a wide range of individuals and constituencies in a diverse community.
Excellent knowledge of Internet security, including Internet architecture, protocols, and applications
Excellent problem-solving and analytical skills, and exceptional attention to detail
he ideal candidate will have a strong background in data center and High Performance Computing infrastructure operations, experiences with RMA process, working with external vendors and the ability to analyze, optimize and operationalize both internal and external customer-facing processes.
You have a proven experience of leading cross-functional teams working with planning, execution, and evaluation of program initiatives, including ticketing process improvements and optimization.
Wondering if you’re a good fit? We believe in investing in our people, and value candidates who can bring their own diversified experiences to our teams – even if you aren’t a 100% skill or experience match. Here are a few qualities we’ve found compatible with our team. If some of this describes you, we’d love to talk.
You have at least 3-4 years experience with Infrastructure as it relates to Data Center operations.
You know how to conduct regular program reviews and evaluations to assess effectiveness, identify areas for improvement, and drive continuous optimization.
You have a background in establishing roadmaps, data analytics, staffing efficiencies, process improvements, and governance for customer programs and strategy covering current and future growth.
You have experience using business intelligence systems and tools, looking at issues and ticket data trends to help identify bottlenecks and areas for improvement in larger scale data center operations.
You are proficient in designing and implementing process workflows, with a strong ability to analyze and optimize operational procedures through detailed workflow charts, ensuring efficiency and effectiveness in project execution.
You are familiar with tools and methods to create and maintain detailed documentation, and have proven experience in generating client-facing reports on infrastructure metrics, server management, and case workflows.
You’re interested in playing a key role in talent acquisition and retention. This includes diligent performance management and coaching/developing your team according to their individual needs.
You are familiar with Linux, containerization technologies, virtualization and cloud computing concepts.
You’re practiced in communicating with clients and external vendors regarding their business needs, priorities, incidents, and eff
You’ll join a team of close-knit and fast-learning engineers who believe in our mission to help communities. You’ll report into the Director of Engineering and build new functionality to facilitate payments processing that integrates with our existing software ecosystem.
Write Python or Java code and participate in peer code reviews
Design technical architecture and communicate with nontechnical audiences
Collaborate with Engineers, Product Managers, Security and our PMO
Lead projects from design to done
Monitor and support live systems
Mentor junior engineers
What You Should Have:
5+ years of software engineering within a collaborative and agile environment
Bachelor’s degree in Computer Science or Engineering or equivalent experience
Expertise in Python or Java and proficiency with AWS Lambda
As our Financial Controller you will be responsible for managing all accounting operations and preparation of financial statements in accordance with GAAP. Preparing and publishing timely monthly financial statements as well as the development of internal control policies and procedures.
We don’t have a checklist of skills, we consider aptitude and passion alongside skills qualifications.
That said, below is a guideline of skills that we think would make you successful in this role.
We’d love to hear from you if you:
10 years plus of overall combined accounting experience
Accounting Degree
CPA preferred
Manage external audit process
Lead all aspects of accounting and financial reporting and the monthly close process with full responsibility for timeliness and accuracy
Design, implement and maintain effective internal controls
Identify and remediate internal control weaknesses
Direct responsibility for accounting for complex accounting and disclosure areas, such as consolidation, revenue recognition, reserves, accruals, and other disclosures
Research and analyze technical accounting issues as they develop.
Able to supervise a team within the accounting group.
Lead the preparation of accurate and high-quality financial reports in compliance with US GAAP, bank reporting, and management reporting and analysis.
Experience integrating acquired companies into existing accounting practices
Insurance industry knowledge and startup company experience preferred
Your colleagues say you:
Have the ability to be hands-on as well as delegate, train, and develop a team.
Strong communicator and collaborate well with others
Must be well-organized and detail-oriented, able to manage multiple concurrent priorities and objectives
Enjoy building processes to automate accounting operations
The Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.
Essential Functions and Tasks
Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients.
Process assigned AR work lists provided by the manager in a timely manner.
Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations.
Recommend accounts to be written off on Adjustment Request.
Reports address and/or filing rule changes to the manager.
Check the system for missing payments.
Properly notates patient accounts.
Review each piece of correspondence to determine specific problems.
Create test related Contract Data Requirements List (CDRL) documents. EX: Test Plans, Test Procedures, Test Reports, Change Control Documents, etc.
Coordinate and lead Test Readiness Reviews with the Air Force PMO, base personnel, Engineers, and internal/external leadership.
Provide weekly updates to the Integrated Master Schedule (IMS).
Identify risks and issues, create, and manage mitigation plans.
Act as the single point of contact (SPOC) for the Test workstream and provide escalation support to the internal and external program teams, and leadership.
Collaborate with subcontractors and OEM vendors.
Schedule Test activities with the PMO, local base personnel, and Operations Squadrons.
Qualifications
Minimum Qualifications:
5 years of experience leading Testing for IT programs.
Understanding of Network Infrastructures.
Experience writing CDRLs.
Secret Level Clearance.
Desired Qualifications:
Knowledge of Air Force Networks.
Experience testing and operating Hyperconverged Infrastructures (HCI) such as Dell VxRails, SD-WAN, and SASE solutions.
The Payment Posting Specialist is responsible for the monetary intake for Ventra Health clients. The Payment Posting Specialist may be assigned between 13 -14 facilities/clients that they will be responsible for maintaining our 6 days turnaround time. Posts all deposits for current month by our month end deadline. Payment posting specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to Ventra Health clients throughout the country
Essential Functions and Tasks
Posts Accounts Payable deposits
Processes electronic 835’s and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, contractual allowances, recoups and forward balancing
Interprets Explanation of Benefits (EOB) remittance codes and applies correct denial codes.
Balances and closes payment batches timely
Navigate websites to obtain EOBs
Performs special projects and other duties as assigned
Education and Experience Requirements
High School Diploma or Equivalent
At least two (2) years of experience posting insurance payments in a healthcare setting
At least two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred
Knowledge, Skills, and Abilities
Knowledge of insurance payer types
Knowledge of Explanation of Benefits (EOB) statements
Strong balancing and reconciliation skills
Strong 10 Key calculator skills
Strong oral, written, and interpersonal communication skills
Serving members across all 50 states, Connexus Credit Union is a member-focused cooperative that is proud to return profits to member-owners through high yields for checking accounts and deposit products, as well as competitive rates for personal, home, and auto loans. From its early beginnings on through the years, Connexus has remained a strong, growing, and secure financial institution that remains committed to serving the financial needs of our member-owners across the country.
Connexus offers an Amazing Benefits package:
25 days of paid time off and 7 paid holidays
16 hours of paid Volunteer Time Off
401K Retirement with up to 6% employer match
Excellent Health, Dental, Vision insurance, including multiple plan options
Health Savings Account with generous employer contributions
Employer paid Life insurance, Short-Term and Long-Term Disability
Tuition Reimbursement from $4,000 – $7,000 per calendar year
Robust Learning and Development program that includes an annual professional development stipend
Connexus has a Values-Based Culture:
Our Values of Integrity, Respect, Transparency, Wellbeing and Synergy aren’t just words on a page; our values dictate the actions of the organization and everyone within it. We demonstrate our values in every personal interaction, phone call, and email ‐ every day.
About the Role:
The Training Specialist & Facilitator will play a vital role in ensuring Connexus Credit Union employees receive top-notch training, while helping Connexus employees develop the required skills and knowledge to perform their responsibilities effectively and excel in their roles. They will collaborate with various teams to develop and deliver effective training programs, by designing training materials, facilitating instructor-led training sessions, and incorporating engaging activities to enhance the learning experience. The Training Specialist & Facilitator will provide ongoing support and guidance to Subject Matter Experts, while staying updated on industry trends and regulations to ensure our training initiatives are aligned with best practices.
Responsibilities:
Coordinate, prepare and conduct training, generally for specific department needs (i.e Collections, Lending, Member Services, and Member Contact Call Center) directly with department leaders.
Collaborate with Development & Design to provide synergy with training of employees.
Deliver new employee, sales & service technique, and product & service training.
Design, update, and coordinate written or online resource materials.
Participate in the roll out of new products and service to assist in coordinating and conducting employee training.
Maintain calendar of department employee training events; track outstanding employees and work with department leaders.
Research and recommend training course to ensure employees receive the most updated department training needs.
Position Requirements:
This position is remote.
Bachelors Degree in Communications, Human Resources or Training & Development or commensurate experience is Required.
1+ year of working experience with delivery platform skills, program facilitation, and coaching program development is Required.
Expertise in Microsoft Word, PowerPoint, and Excel, along with other presentation/training and development related programs is Required.
Connexus Credit Union’s Recent Recognitions:
2024 Best Credit Union – NerdWallet
2024 Best Credit Union – Bankrate
2023 Best-In-Class Employer – Gallagher
2023 Best Credit Union – Kiplinger
Fourth Largest Credit Union in Wisconsin (by asset size)
Ensure applications operate efficiently and provide production support, data research, code analysis and web and windows development work including enhancements and hot fixes when necessary.
Strong programming skills with significant experience working with: Batch Processing, Document Generation (PDFs, Word Templates), Data exchange formats (CSV/XML/JSON), and Data transfers through: HTTP, SFTP (SSL)
Working knowledge of Microsoft .NET technologies – primarily focused on C# development including: .NET Core, MVC, LINQ, OOPS Programming, Entity Framework, REST APIs, Web Forms, Windows / Console Applications
Experience with Microsoft SQL Server and the design, functioning, and troubleshooting including: TSQL, CRUD – DML and DDL Operations, and SSIS (preferred but not required)
Knowledge of the Microsoft IIS stack and the ability to configure and troubleshoot issues with web-based applications and services including deployment.
Strong analytical skills with the ability to assess new and unfamiliar issues and work through potential solutions, issues, and risks.
Interact with internal and external partners at all levels within the organization and represent our technical platform.
Qualifications and Skills:
5+ years Ellie Mae Encompass Developer/Administration experience.
5+ years in advanced coding within Encompass.
Experience with creating applications, codebase assemblies, and plugins using the Encompass SDK along with data, reporting and other Ellie Mae Network services.
In-depth understanding of the mortgage industry and loan origination life cycle is preferred.
Experience creating business rules using scripting tools, Web Development required.
Experience with Encompass SDK and Developer Connect APIs.
Ability to work independently on a distributed team.
Use Affirm’s proprietary and other third party data to develop machine learning models that predict the likelihood of default and make an approval or decline decision to achieve business objectives
Partner with platform and product engineering teams to build model training, decisioning, and monitoring systems
Research ground breaking solutions and develop prototypes that drive the future of credit decisioning at Affirm
Implement and scale data pipelines, new features, and algorithms that are essential to our production models
Collaborate with the engineering, credit, and product teams to define requirements for new products
What we look for
2+ years of experience as a machine learning engineer or PhD in a relevant field
Proficiency in machine learning with experience in areas such as Generalized Linear Models, Gradient Boosting, Deep Learning, and Probabilistic Calibration. Domain knowledge in credit risk is a plus
Strong engineering skills in Python and data manipulation skills like SQL
Experience using large scale distributed systems like Spark or Ray
Experience using open source projects and software such as scikit-learn, pandas, NumPy, XGBoost, Kubeflow
Experience developing machine learning models at scale from inception to business impact
Excellent written and oral communication skills and the capability to drive cross-functional requirements with product and engineering teams
The ability to present technical concepts and results in an audience-appropriate way
Persistence, patience and a strong sense of responsibility – we build the decision making that enables consumers and partners to place their trust in Affirm!
Reedsy is a community of over 1,000,000 authors and freelance publishing professionals, creating high-quality and beautiful books. We help authors to find and work with the top professionals in the industry: from editors to designers, marketers, and translators.
Requirements
Have 3+ years of experience in illustration.
A solid portfolio
Experience working for a renowned publishing company or a history of high-quality work with a bestselling author/book will be positively valued.
Benefits
There are hundreds of authors currently looking for an illustrator on Reedsy. Reedsy allows you to pick which types of design you’d like to do, so you only receive projects in your area of interest. Once your application has been approved, you will be among the industry’s top 1% of talent. Here is a look at our current trends: https://blog.reedsy.com/book-cover-art/
Design and development updates, edits, and changes to existing websitesDesign and development of new websitesManage and respond to customer support requestsExecute web content and publishing solutions based upon established guidelines and ensure websites reflect best practice in terms of structure, navigation, design, and content presentation.Follow style guide/brand standards and legal requirements in the content publishing process to assure quality and accuracy, including digital accessibility best practices and WCAG 2.0 guidelines.Perform user acceptance testing and website auditing tasks.Generate task-specific documentation on web processes and CMS.Communicate daily with internal and external teams, clients, and vendors regarding project tasks and tickets.Provide outstanding client and stakeholder customer service.Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
Qualifications:
College degree or equivalent experience.Demonstrated experience with web publishing processes, content management systems and related tools.Strong sense of web design and layout, including principles of mobile and responsive design.Working knowledge of HTML and CSS.Proficiency with Adobe Photoshop and Adobe Acrobat.Technically competent with various software programs, such as Microsoft Office and Outlook.Familiarity with digital accessibility best practices and WCAG 2.0 guidelines.Excellent organizational skills and attention to detail.Excellent written and verbal communication skills with the ability to effectively interact with all clients and stakeholders throughout organization.Successful history of balancing priorities simultaneously, while working under tight time constraints and meeting deadlines.Track record of learning and applying new technologies quickly.Proven client support experience, customer-orientated and ability to adapt/respond to different types of personalities.Experience at working both independently and in a team-oriented, collaborative environment.
To love this role, here’s the type of person you are:
You have the ability to research and understand technical concepts, then explain them in simple terms to people who aren’t tech-savvy.
You can accept requested edits with a professional attitude, understanding that even the best writers have room for improvement.
You’re a self-starter who is comfortable creating complete articles with minimal direction like the targeted keywords, and a blog title.
You’re an excellent communicator who makes sure nothing slips through the cracks.
You’re results-oriented and focused on the outcome of your writing, not just the words themselves.
You have a passion for digital marketing; it’s the thing you could talk about all day long and that your friends and family wish you STOP talking about.
While you don’t need to be an expert in these areas, it certainly helps if you have a general understanding of blogging, email marketing, lead generation, eCommerce, and search engine optimization. Bonus if you’re familiar with the other Awesome Motive products like WPBeginner, WPForms, AIOSEO, Easy Digital Downloads, SeedProd, Smash Balloon, RafflePress, Push Engage, and many more.
Common responsibilities include (but are not limited to):
Researching, writing, and self-editing 3-5 assigned blog posts/week that are engaging, actionable, error-free, and follow our style guide.
Creating your own featured images and screenshots for each blog post.
Ensuring your content is well-optimized for search engine rankings following our established guides.
Research competitors and ensure any comparisons made in articles are accurate and adequately position Awesome Motive’s benefits above our competitors.
Craft copy to articulate the benefits of new features on our website.
Updating pillar articles and existing content regularly.
Writing guest posts or creating snippets of content related to any Awesome Motive-owned brands when needed.
Collaborate with customers to produce written case studies.
Keeping your content’s status on our editorial calendar up-to-date at all times so the rest of your team can see what articles will be published, and when.
Code, stage, and enter data into the registry database utilizing: ICD-O, ICD-10-CM, AJCC TNM (Tumor, Nodes, Metastasis), Site-Specific Data Items (SSDI), STORE (Standards for Oncology Registry Entry), and SEER (Surveillance of Epidemiology and End Results) guidelines. • Complies with state and federal mandates that require reporting all diagnosed and /or treated malignancies and reportable benign tumors • Perform data quality control activities on registry data • Retrieve and comply with data for preparation of annual reporting and may collaborate in generating reports for special studies • Prepare minutes for multi-disciplinary Tumor Conference every week • Contact patient providers and state registries per the database to gather follow-up information and verify or correct patient information • Maintains the highest degree of confidentiality of all information encountered including verbal, written, and computerized. Reports to the manager any failure by anyone to protect confidential information. • Performs other duties as assigned
Knowledge/Skills/Abilities: • Demonstrated knowledge and proficiency of ICD-O and knowledge of ICD-10 CM/PCS, DMS Coding • Working knowledge of the policies and procedure manuals of the Tumor Registry and resources such as the American Joint Commission on Cancer (AJCC). TNM, STORE, and SEER
Write clean, maintainable and testable code, with consideration of appropriate style and industry standards, along with documentation.
Deliver assigned tasks in a timely and efficient manner, and take ownership of the product delivery.
Work closely with scientific subject matter experts, back-end developers, and stakeholders to ensure visually appealing, functional, and intuitive software.
Other duties as required.
What You Will Need:
Bachelor’s degree in Computer Science or related discipline, or equivalent work experience.
4+ years in Software Development
Strong proficiency in JavaScript, including DOM manipulation and the JavaScript object model. Thorough understanding of React.js and its core principles.
Experience developing and using RESTful web services and JSON or XML objects for communication.
Experience with version control and collaborative development practices (including GitHub Action, pull requests, and code review) using Git and GitHub.
Provide 2nd level support for Active Directory Services, client IT and telecommunications.
Support most USDA Business website applications.
Provide some training to end users on new and updated systems and software.
Work with civilian customers as well as Federal employees to trouble shoot issues with websites.
Perform user account maintenance tasks, archiving defunct credentials, and monitoring login systems for suspicious trends.
Perform troubleshooting, maintenance, and optimization of software applications.
Provide training to clients in use of web-based systems and applications.
Working Hours for this position will either be 6:00pm EST – 2:30am EST or 10:30pm EST to 7:00am EST.
The candidate will need to be available for training conducted during regular business hours (10:00am-6:30pm EST) for the first few weeks in the position.
What You Will Need:
Will require a High School Diploma and 3-5 years of prior relevant experience.
Provide troubleshooting, testing and analysis with a Microsoft Windows Active Directory environment to include group policy and group policy preferences design and troubleshooting.
2+ years of experience in hands on IT customer service with supporting and troubleshooting Windows systems.
Experience with helpdesk support
Efficiently install and maintain software on the desktops. Resolve help desk problems in a timely and efficient manner.
Perform user account maintenance tasks, archiving defunct credentials and monitoring login systems for suspicious trends.
Works collaboratively with providers, other health care professionals and coding team to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to each patient, as well as ensuring compliant reimbursement of patient care services.
What You Will Need:
High school diploma and 3-5 years of experience Urology surgery coding with E/M experience
Solicit needs from the department and communicate project requirements. Take those requirements and turn them into project plans. Work with the art team to execute those plans.
Work collaboratively with production and department leadership to drive decision making that achieves both the project goals and company values.
Connect departments and eliminate roadblocks to ensure the team is flowing efficiently through their work.
Communicate project risks to leadership.
Suggest improvements to the production process and assist in seeing them through.
Assemble productivity data from the production tracking system and use that data to create production reports that steer production forward.
Requirements & Skills:
Project Management or Business Administration skills or experience.
Experience with Jira, Shotgun/ShotGrid, Perforce or other industry standard tasking and version control software.
Experience with modern game art pipelines, particularly 3D character scanning and high-fidelity realistic character art pipelines preferred.
Experience with talent scanning preferred.
Flexible and agile, able to adapt during a project to emerging requirements.
Adaptive managerial skills, knowing when to use formal or informal tactics and strategy to achieve project success.
Experience or familiarity with managing budgets and/or staff resource plans.
Qualifications:
At least 5 years of experience as a Producer or Project Manager delivering projects working across multiple departments or equivalent experience.
Strong time management skills in a technically sophisticated and fast-paced work environment.
Strong interpersonal, oral, and written communication skills with high emotional intelligence.
Perform system monitoring, ensuring the integrity and availability of all applications, server resources, systems, and key processes.
· Review, recommend, and implement required system upgrades and patches.
· Develop and maintain documentation for users’ needs and requirements.
· Participate in client/project meetings as needed to ensure smooth transition of developmental projects into production.
· Interface with users of Information Technology, resolving problem situations in a professional manner and communicating pertinent information effectively.
· Interfaces with users of Information Technology, employing a high degree of tact and diplomacy to promote a positive image of the department. Resolves problem situations in a professional manner. Accurately communicates pertinent information to create a work environment that lends itself to the best interests of departmental personnel and customer service.
· Sets work schedules and mentor other administrators as required.
· Performs other related duties as assigned by management.
Requirements
· Bachelor’s Degree (BA) from four-year college or university, or five years of related experience and/or training, or equivalent combination of education and experience.
· Proven experience in system administration with a focus on software management.
· At least 3 years previous experience required; previous experience in Managed Care and Medicare strongly preferred.
· Must be an expert in Microsoft Products including Active Directory, Server, and office 365 Administration.
In this role, you’ll work between source documents and the new CMS to maintain accuracy between two systems. So, the ideal candidate will have a high attention to detail and consistency. This role also requires experience managing projects and working collaboratively with cross-functional stakeholders.
You’ll sweep us off our feet if…
You’re an adaptable, self-starter, who isn’t afraid to ask questions to better understand a subject and get the job done
You’re detailed-oriented, organized, disciplined, and can manage multiple projects simultaneously or change gears quickly
You’re savvy and eager to learn new digital tools and solutions
You’re a team player who is comfortable with working with cross-functional teams
Minimum Qualifications
4+ years of experience in a data entry role or a similar role
Experience in tech, eCommerce, or SaaS industries
Bachelor’s degree in an associated field or equivalent experience
Preferred Qualifications:
Experience with CMS Contentstack is preferred
Exceptional grammar, writing and editing skills
Excellent knowledge of word processing tools and spreadsheets (MS Office Word, Excel etc.)
Experience working collaboratively with project stakeholders and designers
Ability to move fast, in an often ambiguous and fluid environment
Experience with project management tools including Slack, Asana, JIRA, and Confluence
Monitor recovery efforts: Proactively identify and report any issues that could hinder recovery efforts or impact the Credit Union, demonstrating your commitment to safeguarding the organization’s interests.
Meet BECU Competencies and Information Protection requirements: Ensure that all actions and decisions align with BECU’s competencies and information protection guidelines, safeguarding the best interests of our members.
Commit to attaining Credit Union goals: Demonstrate a commitment to continuous improvement, ensuring that processes and service quality are consistently evolving to meet the Credit Union’s objectives.
This role isn’t just about ticking off tasks on a list. It’s about making a significant, positive change in BECU’s journey, where your contributions are valued, and your growth is continually fostered.
WHAT YOU’LL GAIN:
The opportunity to play a vital role in the Loan Loss Recovery process, contributing to the success and growth of BECU
The chance to work within a collaborative team where your ideas and contributions are valued
The potential for career advancement and continuous professional development
The satisfaction of making a tangible impact on BECU’s technological landscape and its members’ financial well-being
QUALIFICATIONS:
Minimum Qualifications:
Associate’s in Business Administration, or equivalent work or educational experience
Minimum 5 years of customer service experience, including 3 years in collections required. Previous experience with financial services products preferred.
Certification or knowledge of the laws and regulations of the Fair Debt Collection Practices Act
Study typeFocus GroupStudy formatOnlineCompensation$150 Participants have their choice of PayPal, Amazon ecard, or check. Payment is issued withing 24-48 hours after the interview.Session length120 minutesDescription
We’re looking for feedback on products and services that you use to care for your household pets. How do you keep your best friend happy and healthy? This is a 2 hour Zoom interview with spots available on Monday, April 15th or Tuesday, April 16th. The available start times each day are 9am pdt, 10am mdt, 11pm cdt, and 12pm edt. This is a really fun and interesting study! If you are interested please fill out the short screening form and I will call you asap if you qualify so we can pick which day works best for you. Best, LizDevice requirements
Device type: Computer with webcam.
You cannot use a tablet or a smartphone.Additional screening
The researcher may follow up via message, email, or phone to confirm if you’re a fit for the study. Be sure to answer!
From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.
Job Title: Data Entry Specialist
POSITION SUMMARY:
Under the general supervision of the Supervisor and Manager, the Data Entry Specialist provides exemplary service to multiple clients including product manufacturers, physician, patients, and internal customers. Contributes to the profitability of CareMetx by ensuring personal productivity and efficient use of material resources.
PRIMARY DUTIES AND RESPONSIBILITIES:
Maintains effective systems to support the timely release of accurate information to diverse clients.
Responsible for the intake of all programs specific correspondence including mail, inbound faxed documents.
Logs information into appropriate database and triages all program specific mail to the appropriate reimbursement case advocate, reimbursement specialist and/or management team.
Responsible for payer research and territory assignment management.
May assist with inbound call volume as received.
Distributes reports daily disseminating information to appropriate distribution vendors reimbursement case advocate, reimbursement specialist and/or management team.
Maintains and promotes a positive and professional working relationship with associates and management.
Complies with all appropriate program policies and procedures.
Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action.
Typically receives little instruction on day-to-day work, general instructions on new assignments.
Perform related duties as assigned.
Requirements
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
Previous 1+ years of professional work experience in a customer service or healthcare environment.
MINIMUM SKILLS, KNOWLEDGE, AND ABILITY REQUIREMENTS:
Ability to communicate effectively both orally and in writing.
Strong computer application skills.
Strong interpersonal skills, team player.
Strong organizational and time management skills.
Strong attention to detail.
Adaptable and flexible to new situations.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit.
The employee must occasionally lift and/or move up to 10 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Schedule
Must be flexible on schedule and hours
Overtime may be required from time to time
Must be willing to work weekends if required to meet company demands
CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.
At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.
Serving members across all 50 states, Connexus Credit Union is a member-focused cooperative that is proud to return profits to member-owners through high yields for checking accounts and deposit products, as well as competitive rates for personal, home, and auto loans. From its early beginnings on through the years, Connexus has remained a strong, growing, and secure financial institution that remains committed to serving the financial needs of our member-owners across the country.
Connexus offers an Amazing Benefits package:
20 days of paid time off and 7 paid holidays
16 hours of paid Volunteer Time Off
401K Retirement with up to 6% employer match
Excellent Health, Dental, Vision insurance, including multiple plan options
Health Savings Account with generous employer contributions
Employer paid Life insurance, Short-Term and Long-Term Disability
Tuition Reimbursement from $4,000 – $7,000 per calendar year
Robust Learning and Development program that includes an annual professional development stipend
Connexus has a Values-Based Culture:
Our Values of Integrity, Respect, Transparency, Wellbeing and Synergy aren’t just words on a page; our values dictate the actions of the organization and everyone within it. We demonstrate our values in every personal interaction, phone call, and email ‐ every day.
Position Responsibilities:
Receives and analyzes dispute, identity theft, credit bureau and fraud claims from members and employees and determines appropriate resolutions.
Works in a dynamic, highly collaborative, fast-paced environment, where member experience and fraud prevention are the goal.
Monitoring fraud software program (Verafin) for compliance with fraud reporting, which includes filing Suspicious Activity Reports (SAR).
Supports the monitoring and tracking of fraud issues across all channels of credit union; prepares reports for management based on this tracking.
Investigate Identity Theft Red Flag reports and document findings.
Works with the Fraud Analyst to processes and prepare case files to and from governmental agencies and any fraud cases we elect to pursue.
Communicate with members affected by fraud incidents, providing support, information, and guidance in the resolution process.
Collaborate with other Connexus departments, other financial institutions, law enforcement authorities or members when researching and resolving suspicious activity, under the direction of the Fraud Analyst, Director BSA & Fraud.
Position Requirements:
This position is remote.
1+ years of experience in a financial institution is Required.
Self-motivated individual that is detail oriented and can accurately complete work within required time frames under minimum supervision driven by a sense of urgency.
Possesses proficient skills to open, create, and modify various documents using the Microsoft Suite (e.g. documents, spreadsheets, email, etc) and enter/retrieve information using various applications/systems.
Excellent verbal and written communication skills to effectively communicate with all levels of bank and external customers.
Must possess the ability to gather and analyze information skillfully and document those findings in a clear and concise report.
Must maintain confidentiality of all information received and distributed.
Connexus Credit Union’s Recent Recognitions:
2024 Best Credit Union – NerdWallet
2024 Best Credit Union – Bankrate
2023 Best-In-Class Employer – Gallagher
2023 Best Credit Union – Kiplinger
Fourth Largest Credit Union in Wisconsin (by asset size)
Lead global revenue accounting, including billing and collections, and ensure our ability to scale through the development of efficient and streamlined processes.
Provide thought leadership and build the order-to-cash process for scalability. Lead the team through change management.
Serve as our accounting subject matter expert for technical revenue recognition matters and prepare technical revenue accounting memos.
Evaluate revenue contracts to ensure alignment with company policies and GAAP principles and optimize revenue recognition while maintaining compliance.
Develop and mentor the revenue team, fostering a culture of continuous learning and improvement.
Work cross functionally with the go to market systems, sales operations and professional services teams to streamline billing, collection, and revenue processes.
Implement and document controls and processes for the entire order to cash process.
Collaborate with the Go To Market team throughout the contracting and collections process.
Proactively identify ways to shorten AR and revenue close timelines.
Develop and drive innovative process improvements that leverage technology and maximize overall efficiency while strengthening internal controls.
Requirements:
BS in Accounting or related field; CPA required, and Big 4 audit experience preferred.
7+ years of experience with revenue accounting and reporting, including experience working in a publicly traded company.
Strong knowledge of US GAAP, particularly revenue recognition (ASC 606).
Candidate must be hands-on, have a strong work ethic, excel in a fast-paced environment, and be adaptable to changing responsibilities and priorities.
Monitor and resolve over-due accounts across multiple subsidiaries.
• Manages the Collection Specialist(s) and is responsible for their performance, development, coaching, hiring and disciplinary actions to ensure the efficient operation of Collections.
• Train team members and others as necessary on our systems and strategies for collecting.
• Prepare collections list to assign to the Collection Specialist and other team members that may assist in collections from time to time.
• Define, implement and track KPIs and targets.
• Review and research receivables status across all subsidiaries prior to contacting customer.
• Collect over-due amounts, including promise to pay, or negotiate payments plans with clients.
• Maintain records of contacts and attempted contacts with delinquent accounts and record any payments collected or promise to pay commitments received from the client.
• Prepares monthly aging reports and work with Customer Success Managers on collections.
Responds timely to patient account inquires received from customer service.
Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. Makes recommendations for resolution.
Pursues appeals when available. Initiates communication with coding team and clinical staff when coding related and medical necessity appeals are warranted.
Consistently reviews processes and recommends any areas of opportunities with assigned payors
Written communication demonstrates clear action taken on each account as well as what further action is needed to capture payment. Work output is documented clearly, so that various departments involved in resolution can review the account.
Achieves improved team performance by completing assigned special projects.
Identifies, analyzes and escalates trends affecting AR collections.
Provides verbal and written communication while assisting management in addressing issues with difficult claims and aging.
Facilitates department training by assisting other team members in payor source education and knowledge sharing as requested by Management.
Ability to meet departmental standard for quality and productivity
Responsible for authorization submissions and authorization follow up by obtaining met daily expectations
• Responsible to determine a CRX and a valid prescription with formula calculation knowledge
• Insurance and payor portal navigation knowledge
• Meet daily, monthly, and quarterly metrics and goals set by management
• Communicate effectively with other departments to present solutions to any patient concerns
• Ensure work being performed meets internal and external compliance requirements
• Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations
• Various clerical work including faxing, scanning, and copying
Requirements • High school graduate • A minimum of 2 years proven experience • Proficient in Microsoft suite of products including Outlook, Word and Excel
Preferences • Education or experience equivalent to a bachelor’s degree in related field highly preferred • Home Health/DME related experience preferred; knowledge of insurances a plus
Other Skills/Abilities • Must be able to adhere to confidentiality standards and professional boundaries at all times • Self-starter, able to display the highest level of integrity and respect for confidentiality.
• Ability to exercise effective judgment and sensitivity to changing needs and situations.
• Must have strong organization skills and be very detail-oriented.
he Technical Customer Care Specialist II provides technical support for all inventory related processes and customer support issues for internal and external customers. This position requires excellent telephone, listening, problem-solving/troubleshooting, and organizational skills along with outstanding reliability and follow-through. The Technical Customer Care Specialist II will provide proactive, knowledgeable, results-oriented service that is enabled by a strong knowledge of the Cox Automotive organization, processes, and technology.
In this role, you will be responsible for effectively troubleshooting/resolving vehicle inventory issues and maintaining the quality of data on the Autotrader.com website, as well as corresponding Cox Automotive sites. You will provide technical support to Dealers, Sales, 3rd party vendors, Customer Support and other Cox Automotive teams. A successful Technical Customer Care Specialist II-Inventory has the ability to collaborate with our 200+ 3rd party data vendors to troubleshoot and resolve inventory issues for our customers.
Responsibilities
Daily Communication: Strong written and verbal communication skills are essential for interacting with fellow staff members, management, sales, vendors and Dealers.
Troubleshooting/ Problem Solving: Resolve issues upon initial contact (i.e. “first call resolution”), whenever possible. The Technical Client Service Rep II, Inventory must demonstrate effective troubleshooting procedures to resolve technical issues with inventory, images, and data load processes.
Order Fulfillment: Manage dealer contracts through the inventory process, including working with third party source vendors to perform initial inventory feed set up for dealers.
Back to Sales Process: Review resolved requests and confirms if the resolution is valid. Troubleshoot and follow through until a valid resolution is received.
Multi-tasking: Ability to complete multiple tasks by using multiple systems (Homenet, Dataload, Salesforce, etc.) to get to effective and efficient resolutions.
Reporting: At any time, the Technical Client Service Rep II, Inventory may be asked to distribute any necessary report to the dealer, sales or other internal clients.
Working Across Teams: Establish and maintain partnerships with ATC service and support organizations, including Dealer Operations, Dealer Support, Product Management, National Accounts, IT, and Sales.
Works with the Client technical team to provide Service Desk Cayuse team members with appropriate access to create, update, and maintain the reporting solution on Client’s systems ;
Sets up landing zone in SharePoint & PowerBI Workspace to publish the Service Desk solution
Provisions additional security principal account to help facilitate automation efforts as possible
Interfaces with key stakeholders on ad hoc reporting requirements
Gathers user requirements for potential new scope items
Provides a clear intake process to map requirements, level of effort, and alignment to compliance and scope control requirements
Defines and implements strategy to reduce manual reporting tasks
Creates, prioritizes, and reviews an enhancement backlog for periodic review with stakeholders
Provides enhancement support on as needed basis, minimizing changes when possible consistent with scope control
Other duties as assigned
Qualifications
Minimum Qualifications:
High school diploma or GED required.
Must be able to pass a background check. May require additional background checks as required by projects and/or clients at any time during employment.
Minimum Skills:
Technical aptitude/computer literacy, including familiarity with Windows, MS Office Applications, Mac IOS and Apple Applications, Internet Browsers, as well as basic computer terminology
We are hiring for a teammate to update our records based on different input from various sources. This teammate will support the critical role of keeping our data up to date, which supports our clinicians and helps make sure we support our patients’ needs.
We are looking for a contractor hire to fill this role, and are expecting the work to take up to 40 hours each week. Strong candidates will have excellent computer skills, the ability to manage their workload independently, and strong accountability to task completion.
In this role, you will:
Work closely with our Care Coordinator Team to update and maintain our EHRs based on input from different sources
Proactively manage your workload to keep outstanding data entry to a minimum
Report out on data entry metrics as requested
Work with different systems, including but not limited to Google Sheets, EHRs, typeform data, and others
Who you are:
A passion for optimizing care and outcomes for pregnant people and newborns
Strong organizational skills and the ability to prioritize and follow through on multiple projects in a timely manner
Experience with email, spreadsheets, EHRs, and other commonly used software, and willingness to work with new software
Researches any overdue account balance that is fully or partially unpaid and follows up by mail and/or phone to insurance carriers or customers on delinquent payments.
Reviews unpaid and underpaid claims. Resubmits or appeals as necessary.
Verifies payment information adjustments to supervisor.
Coordinates collection activities for delinquent accounts by preparing information for external collection agencies or attorneys.
Complies with the Fair Debt Collector Practices Act (FDCPA).
Responds to customer inquiries regarding account status.
Researches customer’s accounts thoroughly and documents appropriately.
Resolves discrepancies and prepares adjustments and refunds as necessary.
Ensures that all information regarding collection activity of account is entered accurately into the billing system.
Brings recurring issues to the attention of the department supervisor.
Initiates payments and resubmits bills as necessary.
Pursues patient for payment obligations when insurance defaults as permitted by law or contractual relationships.
Report to work punctually at assigned starting time, and have reliable, consistent attendance
Provide timely and accurate information to customers regarding their order status and/or product information requests according to established department and intra-departmental policies and procedures.
Process customer returns according to established department policies and procedures.
Work closely with the Medical Billing department to resolve disputed Billing charges
Provide timely feedback to Customer Service Management regarding service failures or customer concerns.
Partner with Sales Representatives to meet or exceed customer service expectations.
To be successful in this role, you require:
1+ years medical industry or call center/customer service experience
Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.
Ability to solve practical problems and deal with a variety of variables.
Knowledge of Microsoft Office Applications
Ability to work some evening shifts, weekends, or overtime as needed
Education and experience required:
High School Diploma or general education degree (GED)
This is a technical support role that is critical to the customer experience and success of the company. As a Tier 1 Multifamily Customer Support Representative, you are responsible for discovering, triaging, and resolving customer issues. You will escalate complex issues to our Tier 2 team following our standards and procedures. The ideal candidate has a passion for helping others and strives to continuously improve the customer experience.
Main Duties & Responsibilities:
Provide exceptional omnichannel (voice and email) support to Level Home’s multifamily customers.
Meet and exceed established KPIs and performance metrics
Effectively and efficiently manage ticket queues to comply with current SLA guidelines
Success Characteristics:
Advocate for the customer experience. Someone that is aware of the customer’s pain points with the product and compassionate of frustrations experienced.
Able to adapt to new processes and products. Eager to learn and contribute to resources and communicate ideas
Has a team-first mentality when working with other members.
Able to work in a fast-paced environment with dynamic requirements and priorities
Able to exercise judgment within defined procedures to determine appropriate action plans and resolutions
Attention to detail and commitment to managing problems through resolution
Working knowledge of CRM and ticketing tools, specifically Salesforce Service Cloud
Strong organizational and time management skills
Professional written and verbal communication skills
One to two years of experience as a technical support professional in a hi-tech or consumer electronics industry
High School diploma with prior work experience in hi-tech or consumer electronic industry or Associate Degree preferred
Follows corporate policies, procedures, and fair claims handling practices
Investigates claims to determine validity and extent of liability, including:
Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others
Reviews and evaluates documentation, including applications, reports, and statements
Monitors appropriate claim outcomes through self-audit process
Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues
Ensures legal, regulatory and fair claims handling compliance
Sets or recommends reserves based on results of claim investigation.
Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports.
May provide interaction with insureds, agents, claimants, attorneys, and other service providers, including:
Conducts in-depth interviews and/or scene inspections
Attends settlement conferences and/or trials
May serve as a member of project teams, contributing to the achievement of project objectives.
Performs other duties as assigned.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Change Management: The Technical Client Service Rep II, Inventory will show the flexibility necessary to adjust to changing duties and responsibilities as the department/company evolves. Additional responsibilities may be delegated to assist the department/company with meeting their objectives.
Decision Making: Able to take action in solving problems while exhibiting judgment and realistic understanding of issues. Ability to use good reason, even when dealing with ambiguity. Use troubleshooting processes to effectively arrive at decisions.
Project SME: Works as a Subject Matter Expert (SME) on special projects as needed.
Additional Responsibilities: Adjusts to changing/additional duties & responsibilities as the department and company changes. Additional administrative duties, such as special projects and tasks, may be delegated in order to assist the department and company, and to help ensure that goals are met.
Required Qualifications
**Must reside within the Central or Eastern Time Zone**
High School Diploma/GED and 3 years experience in a related field. The right candidate could also have a different combination, such as any level degree/certification beyond a HS diploma/GED in a related discipline and up to 1 year of experience; or 5 years experience in a related field
Ability to work in a fast paced, deadline oriented, multi-task, team environment in which strong attention to detail is expected.
Knowledge of MS Outlook, Word, Excel, PowerPoint
Ability to work on cross-functional teams with other staff and departments
Strong orientation to customer service
Exceptional interpersonal skills
Excellent verbal and written communications skills
Demonstrated technical aptitude with troubleshooting experience.
Work Location: Remote working. You must be eligible and currently reside in the USA, excluding Texas and Illinois (people residing in TX/IL cannot participate)
Owner of US bank account
Work Schedule: part time, 4-6 hours
Compensation: 20 USD per hour (1099 contractor basis)
Experience: no prior experience required, linguistic/language skills preferred
Education: linguistic education preferred
Language Requirements: Native in English
Start Date: Immediately
Project Duration: 4-6 weeks, potential option to extend and/or work on other projects
Does this sound like you?
Are you a stay-at-home mom or dad, student, gig worker, or professional looking for freelance, part-time, remote, work-from-home jobs where you can set your own schedule? Are you interested in helping to improve the reliability of today’s AI models? If yes, then this opportunity is for you!
What we’re looking for?
RWS Group is looking for Data Annotators to annotate, label, or tag text, audio, image, or video data based on specific guidelines or instructions. This information will be used to train and improve AI and machine learning models.
Robert Half has partnered with a well-known healthcare company located in the Greenwood, IN area to secure a full-time Medical Accounts Receivable Specialist!
Hours: Monday-Friday with flex 1st shift hours (anytime between 6a-9a start + flex time off – can flex up to 4 hours each week)
Fully remote – need to be local to Indiana
Essential Functions:
Claim resolution from beginning to end
Identify and correct common front end claim errors for clean claim submission
Back end denial management (not just claims submission)
Identify and interpret the denial and complete requisite follow up
Demonstrated medical billing knowledge
Payer portals and follow up calls to insurance companies
If you are interested in this position, please apply directly online!
Assist other IT staff with system administration, security, and network infrastructure management.
Lead new and replacement device deployments for Mac and Windows laptops.
Assist users with applications, security, OS upgrades and data transfers.
Support of Office 365 (Office, Word, Excel, OneNote, PowerPoint, SharePoint, OneDrive, Teams, etc.), as well as IT Infrastructure such as Active Directory and Okta.
What you will need to succeed:
Education:
3+ years of experience working in IT or a related technical field supporting end users.
Industry certifications preferred – for example CompTIA, CCNA, Microsoft, AWS.
Skills:
Strong experience supporting Microsoft Windows and MacOS operating systems.
Strong experience using Mobile Device Management tools such as Kandji and InTune.
Strong communications skills – the ability to provide a friendly, supportive experience for users, as well as handle difficult conversations with a calm and professional manner.
Strong experience working as a team player both within the IT team and across other departments.
Experience working with cloud solutions such as AWS, Office 365, CrashPlan and Okta.
Experience working independently and managing own time.
Experience supporting IT infrastructure such as firewalls, Active Directory.
Responsible for providing Quality Control (QC) documentation support to operations.
Performs QC review of lab documentation to ensure accuracy and compliance with applicable regulations and SOPs.
Assists in the preparation of audits by coordinating documentation and performing a quality review to ensure completion.
Assists with the preparation and coordination of quality control educational programs: in-house workshops, presentations, training and seminars for new hires and existing staff.
Assists coworkers and manager to manage and schedule all assigned quality control projects.
Assists with lab quality process improvement initiatives.
Participates in QC and company staff meetings and discuss findings and recommendations for resolving non-compliance.
May coordinate and review documentation of initial training and competency assessments for upload to electronic filing system.
What We Are Looking For:
High School Diploma or equivalent Required
6 months experience in a regulated laboratory environment.
Other Equivalent combination of education, training, and experience may be accepted in lieu of degree.
The Knowledge, Skills and Abilities needed for this role:
Basic knowledge of laboratory quality systems and laboratory procedures.
Basic knowledge of laboratory good documentation practices.
Good computer skills using Microsoft Outlook, Word, and Excel.
Capable of handling multiple tasks simultaneously.
Develop and document export data specifications and processes with clients and vendors.
Configure the Benefitsolver system (utilizing web-based GUI) based on the needs outlined by the client and carriers
Analyze and digest business and technical data requirements as provided by multiple sources
Analyze and develop mapping and translations between the data elements in Benefitssolver, interfacing with the carriers and clients
Manage towards test plans with clients and carriers, testing the data exchange process end-to-end
Develop XML configuration files from Businessolver to carrier systems; coordinate and test EDI feeds with external vendors
Demonstrate consistent productivity against key performance indicators
Coordinate and test export files and processes with external clients and vendors
Manage towards project plans and timelines based on assigned priorities
Communicate with all internal and external partners in a pleasant, professional manner and with an attitude that promotes Businessolver’s goals and core objectives
What you need to make the cut:
Familiar with HIPAA 834 and experience with electronic carrier enrollment and eligibility activities
Critical thinking skills and ability to solve problems; detail-oriented with a high degree of accuracy and follow through
Expertise with Excel; experience with Access, XML, JavaScript, ETL, and text files a significant plus
Experience with payroll vendors a plus
Knowledge of EDI, benefits, and insurance
Familiarity with EDI transmissions
Experience configuring EDI files preferable
Electronic data transmission experience preferable
Excellence in communication and responsiveness with a high level of customer service orientation
A confident, positive self-starter who achieves high performance standards coupled with a willingness to perform a wide variety of tasks and projects
BS required, preferably in Business, Computer Science, or related field of study – or equivalent experience
Assist the Investment Manager with identifying, sourcing, and screening startups globally for our fall NYC program powered by J.P. Morgan that starts Sept 9, 2024
Work with the greater Techstars team to utilize tools and resources to gather relevant data throughout the company screening process
Conduct market research
Write investment memos
Help as needed with Techstars sourcing events
Qualifications
Part-time availability, approx 15-20 hours/week
Strong interest in the discourse around technology, startups, entrepreneurship, and venture capital
2 – 3 years relevant experience in fast-paced environments with a focus on entrepreneurship, startups, venture capital, or consulting
Basic understanding of marketing CRMs and lead management, market research, due diligence, and investment experience – a plus
Comfortable with a minimal amount of direction but high expectations
Ensure client portfolio requests and card order setups are accurate prior to delivery
Collaborate with clients third party service providers to ensure effective enrollments and portfolio management.
Work closely with Paycard partners and serve as first point of contact for client support and resolution of a variety of issues.
Notify Enrollment Manager(s) and/or leadership on program change requests, or escalated client and cardholder issues.
Responsible for increasing card count and maximizing total opportunity within each customer.
Lead client intake and coordinate all aspects of client portfolio deliverables, including account implementation and servicing.
Assist with training new Enrollment Coordinators on implementations and card orders.
Provide backup for Enrollment Specialist when needed.
Update and report portfolios in Salesforce.
Perform other duties as needed.
Requirements
Bachelor’s Degree preferred
3+ years combined client relationship and customer service experience preferred
Experience developing strong relationships with internal and external stakeholders, including but not limited to, clients, peers, and executive leadership
Ability to effectively prioritize multiple projects and client portfolios
Excellent written, oral, and interpersonal communication skills
Excellent organizational skills and time management skills with a high level of attention to detail
Works with limited supervision and solves problems of moderate scope
Experience with Microsoft Office, including Outlook, Excel, PowerPoint, Word and Project
Experience working and collaborating effectively in a team environment
Demonstrated ability to work well in a high paced work environment with general instruction
Experience with Salesforce and MicroStrategy preferred
Evaluates and adjusts claims within the adjuster’s authority level.
Reports directly on technical matters to supervisor or management.
Evaluates and manages litigated claims, determines future course of handling and proper method of disposition. Consults with the claim manager on those claims in which assistance and consultation is needed, as well as on those claims which exceed assigned authority.
Assesses recovery potential and is responsible for the development of information required to successfully pursue recovery.
Meets with current and prospective customers to discuss C&F claims capabilities and address specific claim needs.
Accountable for the equitable and prompt adjustment and management of assigned claims to disposition in accordance with company Best Practices.
Responsible for providing superior customer service to all agents, insureds, and others encountered during the claims handling process.
Understanding/knowledge of contractual indemnity and additional insured risk transfer opportunities preferred
What you will bring to C&F:
Minimum of three years’ experience handling bodily injury claims.
College degree is preferred and a designation and/or insurance related courses are a plus.
Obtain and maintain required state licenses.
Excellent verbal and written communication skills are essential and the ability to communicate with all levels within the organization.
Computer skills with a working knowledge of the Microsoft Office suite of programs a must.
Identify and understand active job recruiting needs, including understanding job requirements and developing search strategies
Conduct searches using LinkedIn Recruiter including candidate identification and communication, submit qualified candidates for consideration, and refine searches based on feedback from the hiring team
Manage LinkedIn Recruiter activities including Inmail allocations, saved searches, search filters, and project status updates
Build and manage LinkedIn network for extended reach and candidate connections
Qualifications:
Bachelor’s degree and 10+ years of experience working in a business setting
General understanding of the roles, responsibilities, and skill requirements of various business functions (e.g., accounting, HR, marketing, business development, etc.)
Experience with LinkedIn Recruiter and other filtering strategies is a plus. Transferable skills may include honed research, internet search, data analytics, and database search.
Critical thinking, analytical, able to quickly distill information, resourceful
Strong communication skills and professional writing and messaging skills
Ability to work independently, including developing and improving knowledge and command of the LinkedIn Recruiter tool
Ensure the company keeps track of the money that is earned and spent • Keep track of all payments, receivables, and revenues • Make journals entries, receive documents and bills • Ensures compliance with local, state, and federal government requirements. • Reconciling accounts and keeping financial records • Identify data irregularities to management • Use bookkeeping software, spreadsheets, and databases. • Produce balance sheets, statements, and other financial reports. • Performs other related duties as necessary or assigned. • Enter and maintain cash receipts and disbursement journal and general ledger
POSITION QUALIFICATIONS • Excellent written and verbal communication skills. • Excellent organizational and time management skills. • Proficient in ERP, earned value and accounting software. • Knowledge of Infor VISUAL Enterprise ERP is a plus • Proficient in Microsoft Office Suite or similar software. • Excellent Technical skills to use computers and software • Excellent problem solving skills • Mathematical and numerical aptitude • Technical Aptitude – Ability to comprehend complex technical topics and specialized information. • Working Under Pressure – Ability to complete assigned tasks in stressful situations. • Accuracy – Ability to perform work accurately and thoroughly.
JOB RESPONSIBILITIES • Designs, develops, and supports technical automation solutions, using a variety of programming languages, tools, and platforms. • Continuously improves and refines existing automation solutions, identifying opportunities for optimization and increased efficiency. • Provides technical support and troubleshooting assistance to team members and stakeholders as needed.
COLLABORATION & COMMUNICATION • Collaborates with other Engineers, Analysts, and technical resources across teams to build and refine project requirements and develop appropriate solutions. • Partners with stakeholders and other clients to evaluate processes and build cross-functional project plans. • Presents project updates, findings, and recommendations to both technical and non-technical audiences. • Actively participates in team meeting, project discussions, and knowledge-sharing sessions, contributing to a collaborative and supportive work environment.
EDUCATION: • Bachelor’s Degree in Computer Science, Information Systems, Engineering, Mathematics, or a related field. • Commensurate experience (minimum 4 years) will be considered in lieu of a degree.
EXPERIENCE: • 1+ years of development experience in a high-level programming language. Python strongly preferred. • 1+ years of experience working with both front- and back-end data environments, data pipelines, ETL/ELT processes, and/or data analytics.
Manage interaction between the Product Operations and Sales Engineering Team for product training and advanced questions.
Maintain/track product and feature testing activities between SE and PM teams.
Assist Product Team in launching new products to SE’s, ensuring new features/products are incorporated in SE training.
Maintain internal knowledge base for SE’s to access deep-dive technical content for each product.
Maintain SE Team Operations.
Maintain SE Organizational directory, group membership, Slack experiences, “flock” opportunities, and partner for event coordination activities.
Manage technical mentorship program within the SE Team by matching mentors with mentees.
Ensure feedback loops are healthy across the SE Organization and cross-functionally. These feedback loops will feed directly into performance management reporting.
Some travel is expected to ensure a standardized experience across all offices and events.
Champion, role model, and embed Samsara’s cultural principles (Focus on Customer Success, Build for the Long Term, Adopt a Growth Mindset, Be Inclusive, Win as a Team) as we scale globally and across new offices.
Minimum requirements for the role:
Enthusiastic about enablement program management & supporting technical sales and product teams.
Enjoys scheduling tasks and driving participation to make new hires successful.
Excited by mentorship opportunities, knowledge sharing, and championing Samsara’s cultural principles.
Must be highly organized with experience managing a program schedule across multiple parties to deliver an outcome. Ability to drive accountability across program stakeholders.
Experience working with technical sales productivity tools (Internal KB and LMS platforms).
Experience tracking and delivering against KPI’s, OKR’s, or other data-driven performance metrics.
Experience running scalable and consistent feedback loops to help your team debug processes, share knowledge, and achieve organizational goals.
Ability to align quickly and proactively with leadership and implement feedback.
Defining, documenting, and communicating objectives, requirements, and constraints for product initiatives to engineering and business stakeholders.
Understanding dependencies between business priorities and platform initiatives ensuring that the platform always stays a few steps ahead of the business.
Assisting with prioritization of work across various teams and work streams.
Analyzing data related to platform issues, identifying areas for improvement/bugs, and prioritizing net new work based on impact.
Acting as a point of contact for all things related to the area of the product for which you will be responsible.
You bring
5+ years of relevant experience in technical product management or a similar role (e.g. engineering)
You are not afraid to dig into the code, review technical documents, opine on system design, and diagnose an issue
An act-like-an-owner mentality. We have a bias toward taking action.
Work to clarify and triage customer requests as quickly as possible
Maintain a positive customer sentiment throughout the support process and escalate appropriately
Consistently follow up with internal team on open issues
Consistently and confidently triage and escalate requests to other internal teams in a timely manner
Independently own the support process and decision matrix, completing retros and updating as necessary
Assist in the gathering and reporting of quality and support related standard operating objectives and measures
Ability to work non-standard hours to ensure we have coverage across the majority of our customers time zones
What you’ll need:
Experience working with CAD desktop software and troubleshooting issues loading / converting CAD files
Experience dealing with external customers in a technical support context for a SaaS web application
Exceptional interpersonal skills with a broad range of external and internal teams
Exceptional written communication skills and the ability to effectively communicate technical concepts to non-technical users
Ability to communicate effectively and with empathy via phone, web conference, and in writing
Experience with web debugging tools such as Chrome Dev Tools, JavaScript Console and performance monitoring platforms like Datadog, New Relic or AppDynamics
Experience with a ticket management system like Zendesk, Shortcut or Jira
(Nice to Have) Experience managing and maintaining a customer-facing knowledge base
This role will deal with highly sensitive information, requiring the successful completion of enhanced background checks and security clearance. For this reason, you’ll need to have US citizenship and be physically located in the US.
anage and motivate a team of technical operations specialists that monitor and maintain day-to-day technical operations for post-implementation managed services
Set clear objectives and evaluate progress to instill a high-performance culture with a focus on teamwork
Create and sustain best practice standards for technical operational support, to include file delivery/receipt, data loads, file creation, and pipeline monitoring
Define and execute process monitoring and reporting strategies
Ensure compliance with contractual service level agreements and regulatory requirements where applicable
Manage, track and communicate issues and outages across the technical operations to various stakeholders as appropriate
Establish and maintain an accessible repository for storage of policies and procedures, work flows and data flows/models
Act as a liaison other functional areas including Development and Technical Support
Plan, coordinate and execute operations support post-implementation working closely with the implementation teams
IT vendor relations and oversight of technical services
Support disaster recovery, security and infrastructure management activities as needed
Ensure appropriate entry in OpenAir to reflect actual client-specific hours worked
Prepare and manage operations resource plan
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
5+ years of experience in the field of technical operations or as an IT technician
5+ years of experience working with health care data to include member, provider, claims and clinical
5+ years of experience with Microsoft SQL
3+ years of experience leading a technical operations team
3+ years of experience in health care compliance/regulatory environment
3+ years coordinating technical processes to ensure timely completion of production activities and projects
3+ years of experience working with senior-level leaders and executives demonstrating progressively increasing responsibility for management and consultation
The System Engineer for Web/Middleware will partner with NBCU resources on day to day operations and platform support, long range initiatives planning, collaboration with cross-functional business leaders and partners, and participate in a dynamic team providing “best in class” support for our NBCU Media I stations.
Subject matter expert in web and middleware technologies
Participate in the design of highly available, scalable, secured, distributed web and middleware hosting solutions
Collaborate with application teams to establish CI/CD orchestration pipelines
Assist project teams in scoping, design, and project work estimations
Identify issues and project business requirements and develop solutions to them
Respond to incidents and service requests; identify areas of optimization and lead efforts to implement them
Collaborate with Cyber Security and identify solutions for remediation of vulnerabilities in the web and middleware infrastructure
Collaborate with Enterprise Monitoring to implement monitoring and alerting for web and middleware technologies
Participate in 24/7 support by acting as an escalation point for any production issues
Qualifications
B.S. degree in Information Technology, Business Administration or other technical discipline
Must be willing to work specific shifts corresponding to either East Coast US or West Coast US time zones
Must be willing to work evenings, overnights, weekends , holidays with little or/no notice
2+ years technical expertise in one of:
Internet Information Services
Windows Server system administration
Alternatively, 2+ years of technical expertise in web application development & implementation
Understand the foundation of our global marketing technology tech stack and how it operates as an end-to-end system to drive revenue, optimize performance, and enable maximum marketing team productivity.
Be the system administrator and day-to-day manager of a variety of marketing technologies including Marketo, Drift and 6sense. Execute day-to-day tasks such as user management, troubleshooting access issues, and system updates. Perform light CRM system design & automation work to implement operational enhancements.
Support our Marketing Operations Manager to integrate marketing technology products with each other and with other systems, such as CRM, web & analytic tools, and marketing management systems to enable data flow and automation across the marketing ecosystem.
Serve as the first point of contact in answering technical requests. Investigate, track and troubleshoot any technical issues or errors related to the marketing technology systems. Partner closely with cross functional teams when necessary.
Build and maintain a range of automation processes including operational programs to help maintain legal compliance, data quality, and marketing excellence.
Onboard and support teams/users globally as they use our systems, delivering or coordinating training, documenting processes and process updates.
Stay up to date on new features/releases/product roadmap initiatives and translate those into Marketing Ops plans and projects
Understand BHN policies and ensure vendors/platforms and BHN users maintain compliance.
Qualifications:
3+ years of marketing technology or marketing operations experience.
Proficiency in marketing automation and integration tools with knowledge of marketing processes and familiarity with monitoring tools and problem-solving methodologies
Solid technical skills in marketing automation and CRM systems with expertise with platforms including Marketo and Microsoft Dynamics.
Ability to work with internal and cross functional teams
Strong organizational and time management skills, with high attention to detail and ability to manage multiple priorities.
Are you passionate about making a difference in people’s lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!
The Claims Specialist is responsible for providing exceptional customer service for the claims team that includes reviewing, processing and managing claims submitted by drivers, as well as checking for accuracy and completion of documentation and attachments.
In this role you will…
Review incoming claims and related documentation to ensure accuracy and completeness.
Address inquiries or concerns from drivers related to claim status, payment, and discrepancies.
Enter claim information and relevant details into the claims processing system.
Review company policies to determine coverage and assess validity of claim.
Apply established guidelines and policies to determine claim eligibility and process claims accordingly.
Obtain missing information by using standard scripts or form letters.
Collaborate with drivers when applicable to gather additional information or clarify claim details.
Maintain productivity and adheres to departmental deadlines, policies, and procedures in handling of
Report suspected fraudulent claims to Fraud, Waste, and Abuse (FWA) department.
May assist in claims review to ensure compliance and/or fraudulent/abuse.
Participate in other projects or duties as assigned.
Organize and maintains departmental deadlines, policies, and procedures.
Collaborate with other departments to resolve inquiries and concerns.
Provide exceptional customer service via phone.
We are looking for someone with…
Strong attention to detail and proficient data entry skills for accurate claims processing
Working knowledge of Microsoft applications (Word, Excel and Outlook)
Analytical mindset with the ability to interpret claim data and follow established guidelines
Excellent customer services skills
Strong verbal and written communication skills to interact with a superior customer-focused demeanor
Problem solving abilities to address claim issues and resolve discrepancies
Pay Range: $14.23 – 19.21/Hourly
Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.
We value our team members and realize the importance of benefits for you and your family.
Modivcare offers a comprehensive benefits package to include the following:
Medical, Dental, and Vision insurance
Employer Paid Basic Life Insurance and AD&D
Voluntary Life Insurance (Employee/Spouse/Child)
Health Care and Dependent Care Flexible Spending Accounts
Pre-Tax and Post –Tax Commuter and Parking Benefits
401(k) Retirement Savings Plan with Company Match
Paid Time Off
Paid Parental Leave
Short-Term and Long-Term Disability
Tuition Reimbursement
Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)
Job Responsibilities: -Ensure timely entry of orders into Salesforce, stressing accuracy and quality control of the order processing life cycle.
– Provision licenses giving customer access to online products purchased and making sure the customer’s site is accurate to what has been purchased.
-Have a great understanding of all our order policies and send orders back that are incorrect or do not adhere to these policies. -Communicate with Sales Operations, Revenue Operations, and internal departments to ensure accurate order completion -Perform other operational duties as assigned
Job Requirements: -1-2 years of relevant order processing and/or operational experience in a corporate environment -Proficiency in MS Office Applications -Ability to work in a fast-paced, deadline driven team environment -Experience solving customer and general order issues in a business setting -Familiarity with Salesforce.com a plus -Ability to multi-task and can be trusted to work effectively both independently and as part of a team -Has a superior attention to detail and accuracy
Coordinates with the Government POC to develop program reports and award tracking.
Provides administrative support for program evaluation and portfolio analysis tasks.
Provides meeting support such as scheduling, meeting minutes, and after meeting follow up activities.
Prepares topic area, program, or product-related summary materials for scientific programs.
Provides award management support for tracking portfolio status in accordance with established milestones.
Supports documenting of processes and procedures.
Must take initiative and possess excellent interpersonal, written, and oral communication skills, and the ability to work effectively in a team environment.
Works under minimal supervision.
Requirements
Minimum Education and Experience
Bachelor’s degree in business, administration, science, health, healthcare, or other related areas
2 years minimum experience
Basic Requirements
Intermediate to advanced knowledge of Microsoft Office applications, SharePoint, and Outlook; including the ability to prepare and maintain complex spreadsheets.
Excellent verbal and written communication skills for face-to-face or virtual interaction with clients, coworkers, and stakeholders.
Project and people management skills in budgeting, resourcing, planning, tasking, and risk management.
Excellent organizational, analytical, and time management skills; demonstrated capacity for detailed organization and synthesis of abstract and disparate information.
Excellent attention to detail.
Ability to prioritize among multiple tasks in a fast-paced, deadline-driven environment.
As part of our IT team, you will work closely with developers to ensure system consistency. You will also collaborate with administrators and clients to provide technical support and identify new requirements. Communication and organization skills are keys for this position, along with a problem-solution attitude.
Ultimately, you should be able to ensure our database systems run effectively and securely daily.
What you’ll need to be successful:
Proven work experience as a Database developer
In-depth understanding of data management (e.g., permissions, recovery, security and monitoring)
Knowledge of software development and user interface web applications
Hands-on experience with SQL
Familiarity working with .NET Framework, JavaScript, HTML, and Oracle
Excellent analytical and organizational skills
An ability to understand front-end users requirements and a problem-solving attitude
We seek an DevOps Engineer to help us build functional systems that improve customer experience. Azure DevOps Engineer responsibilities include deploying product updates, identifying production issues, and implementing integrations that meet customer needs. If you have a solid background in DevOps, we’d like to meet you. Ultimately, you will execute and automate operational processes fast, accurately, and securely.
What you’ll need to be successful:
Work experience as an DevOps Engineer
Working knowledge of databases and SQL
Problem-solving attitude
Team spirit
BSc in Computer Science, Engineering, or a relevant field
Assist with various tasks related to acquiring business licenses, project management and calendaring.
Facilitate the meeting of deadlines by keeping multiple agendas and providing timely reminders.
Provide general administrative support to members of the legal/compliance team, as needed.
Work cross-functionally with various teams (e.g., Permitting, Accounting, Operations) to meet licensing requirements, reporting obligations, and deadlines, for ongoing compliance maintenance.
Qualifications and Competencies
Strong analytical, research, communication and organizational skills
Have excellent time-management and multitasking skills to perform office duties with high accuracy and efficiency under minimal supervision.
Demonstrates oral communication skills with an ability to interact effectively across all levels of a large organization and with outside organizations/individuals.
Establish and maintain cooperative working relationships with vendors, coworkers and other individuals in contact during the course of work; communicating clearly and concisely.
Assess and prioritize multiple tasks and demands; maintain composure and work effectively under pressure; meeting deadlines.
Attention to detail, accuracy, and effectively handling sensitive and confidential information.
Able to adapt to changing priorities and demands.
Proficient in Google Suite products. This is the company’s main platform.
Proficient in typing, data entry, using standard office equipment and the ability to operate a personal computer utilizing standard software such as Microsoft Office including Word and Excel.
Experience using complex electronic databases, computer and web-based expense and travel submission programs.
Be able to legally work in the United States, without company sponsorship or time restriction.
Education/Experience
High School diploma.
3+ years of related experience in a business licensing, project management, legal secretary, or administrative assistant support role.
Previous licenses & permits experience is highly preferred.
Experience with commercial licensing is a plus.
Knowledge of East/West Coast territories preferred but not required.
Must be able to successfully pass all pre-employment screenings, including criminal and drug screens.
Are you a results-driven, quick-on-your feet digital marketer who loves brainstorming creative content ideas just as much as you enjoy organizing content calendars in order to ensure that each deadline is hit on time and above-expectation?
The Content Marketing Lead is a key role within our content department that supports our Content Managers in the day-to-day production of SEO blogs for our clients. This person is the glue that holds us together and the fuel the keeps our engine running. From editing and content calendar management to brainstorming and data analysis, the Content Production Lead needs to be equal parts organized, analytical and creative
ABOUT THE RESPONSIBILITIES
Reporting to the Manager, Content Strategy, the Content Production Lead will help lead important areas of client content operations on 5-7 enterprise-level accounts.
Responsibilities include but are not limited to:
Creating detailed outlines inclusive of instructions, strategy, and sources for writers to use when drafting content
Staging blog posts in content management systems
Editing long-form blog posts on website copy for SEO best practices and against client content briefs for style, tone, voice, etc.
Communicate with a remote team of writers/editors on editing and submission deadlines with little to no oversight from Manager, Content
Lead competitor research for clients during onboarding, ensuring that content briefs are completed and formatted for the entire accounts team.
Lead content brainstorming/writing pitches, finding content gaps and opportunities to rank in featured SERP boxes, etc.
Lead editorial calendar creation/management — (e.g. once we have the topics approved, slate everything in and double check project timeline dates are correct).
Assist with creating monthly content reports for client campaigns, using tools such as Google Analytics, Buzzsumo, SEMRush, and more.
Bring new ideas to the table about how to improve our internal production process.
Collaborate with SEO Strategist and Client Services on strategic campaign shifts/initiatives with little oversight from Manager, Content.
Assist with research, planning and pitching of publishers for backlinks & promotional efforts when new content is created. · Assist with strategizing, composing, and reporting on email content and campaigns
The Arbitration Subrogation Specialist may perform some or all of the duties listed below:
Process carrier to carrier subrogation files in varying lines of business including property, restitution and product liability.
Review files using a diary system in order to handle correspondence.
Respond promptly and professionally to client, insured, carrier requests as well as other incoming calls.
Choose course of action with regard to new subrogation files to assure cost effective resolution.
Review files for adequacy of investigation and measure of damages to determine whether to pursue arbitration.
Prepare and review the initial content of each file while documenting and tracking all ongoing verbal and written correspondence in the SCP & Nuvue systems as well as applicable client systems.
Process letters and authority requests.
Research the application of laws and statutes as it applies to specific claims in each state.
Negotiate adjusted settlements with claimants, carriers and attorneys.
Prepare and distribute settlement offer information to client.
Assist less experienced Specialists with day to day questions and system restraints.
Arbitration specific responsibilities:
Respond professionally and promptly to telephone calls and emails from client brokers, insured, general adjusters, claimants, witnesses, attorneys, and underwriters.
Review files using a diary system in order to handle correspondence.
Prepare and review the initial applicant Arb, counter and response/counter Arbitrations.
Research the application of laws and statutes as it applies to specific claims in each state.
Communicate effectively with insured, general adjusters, claimants, witnesses, attorneys, experts and underwriters in order to obtain and or provide necessary information.
Determine appropriate claim amounts and review subrogation. Evaluate claims based on information and liability factors.
Monitors the unit’s schedule for sufficient coverage. Reviews aging of forms, while continually re-prioritizing based on departmental needs.
Participates in the establishment and review of departmental goals and implements procedures and performance standards. Ensures goals are communicated to staff.
Monitors processing, tracks and delegates work based on departmental goals, backlogs and ensures equitable distribution.
Reviews weekly auditing reports for accuracy and maintains accuracy and production tracking logs.
Works with staff to reconcile audit discrepancies and resolve eligibility questions. Reviews/analyzes returned audit tickets. Identifies training/performance gaps.
Ensures action plans are in place to reduce backlog and effect resolution to ongoing issues.
Mentors and trains new associates. Advises and/or counsels staff members on correct procedures.
Responds to phone calls from other service centers and internal units.
Encourages associates in the units to assist other units as necessary.
Education/Experience:
Associate’s Degree in Business or Health Care or related experience is preferred.
Four years membership accounting or related experience.
Previous experience with vendor oversight/leading a team strongly preferred
Intermediate Excel skills strongly preferred
Knowledge of medical insurance and/or medical terminology strongly preferred
Healthcare or healthcare insurance experience preferred
Reviews all medical records and addresses each question posed by the client utilizing client-specific criteria or other nationally recognized evidence-based criteria
Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
Provides copies of any criteria utilized in a review with the report in a timely manner
Returns cases on or before the due date and time
Makes telephone calls as mandated by the state and/or client specifics
Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
Attends all required orientation and training
Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
Gain a working knowledge of the construction industry and key players
Learn to develop relationships and gain expertise in specific data sources
Research, collect, verify, and maintain project data through various means, including outbound phone calls, emails, and digital research with guidance from manager
Ensure timely, accurate, and comprehensive data entry for all assigned projects and use this data to create or update Dodge Reports on the DCN platform
Maximize project coverage by collecting information on as many active projects as possible within the assigned regions
Complete formal documentation required to support data collection processes
Maintain accountability for performance metrics, ensuring accurate, punctual, and thorough data collection
Skills and Qualifications
· High School Diploma or GED
· 6 months of outbound call experience
· Data entry experience
· Experience in the construction industry preferred
· Proficient in all Microsoft areas
· Exceptional attention to detail
· Excellent written and verbal communication
· Excellent reading comprehension
· Excellent internet research skills
· Able to work effectively in an independent, remote environment
· Comfortable working in a fast-paced role/production driven environment
We are looking for a Service Desk Analyst to join our team. As part of the Information Technology team, providing support for our operations and back-office employees.
You will provide first level support for PC’s/Laptops, Tablets, Video Conferencing Hardware, as well as printers for our Corporate Remote workers. Daily tasks involve the troubleshooting of problems, setting up new accounts, adjusting permissions on a variety of applications, setup of new systems, decommissioning of old equipment, various other tasks to support our rapid growth, as well as some project work.
This is a great fit for someone who is seeking a fast paced environment with an organization that is experiencing hyper-growth, while making a positive difference in the lives of all our customers. If this fits your career goals and sounds like an opportunity where you’d fit in, we’d love to have that conversation with you.
Skills & Requirements:
Available to work Monday – Friday from 9am – 5pm Pacific Time – Required
Windows OS – Required
MacOS – Preferred
Android OS – Preferred
Familiarity with Mobile Device Management software – Preferred
Comfortable working with Cloud Hosted applications – Preferred
Cloud Provider Support (Google, Slack, etc) – Preferred
Ability to work with minimal supervision – Required
Input termination requests via HR Help to ensure terminated employees are processed accurately and timely within UKG
Serve as Tier 1 support for answering basic HR Help tickets/questions from employees, from basic profile updates to tax forms to uploading a photo
Parallel the onboarding process (for audit and backup) and work closely with Talent Acquisition on new hires and requisitions
Support the Talent Development team’s Goals module in a back-up support capacity
Create new jobs in the system and liaise between IT/HRIS/PBPs (People Business Partners)
Manage ADA Accommodations process
Manage AMEX card applications process for new hires
Serve as primary administrator for Bonusly, our soon-to-be-implemented Recognition platform
Support recognition efforts around Birthdays and service Anniversaries
Administer CharityVest, our charitable giving/matching platform, to help further our efforts around supporting those organizations that are important to our employees
Other job duties as assigned
Qualifications
Proven experience in HRIS administration or HR operations
Strong analytical and problem-solving skills
Strong verbal and written communication skills
Ability to handle sensitive and confidential information with discretion
Process claims identified for appeals with appropriate documentation.
Performs appeals follow-up duties on specific financial classifications, such as commercial insurance, self-pay, Medicare and Medicaid claims.
Handles appeals and associated adjustments and charge corrections.
Makes appeals follow-up calls to insurance companies to ensure timely processing of appeals.
Reviews remittance advices for rejection and accuracy of payment amounts.
Verifies accuracy and completeness of charge tickets, monitors attachments for appeals to obtain maximum reimbursements.
Consistently meets the Quality Assurance (QA) standard as established within the department. Consistently meets the productivity and efficiency standards of working a set amount of appeals a day and follows best practices for one-touch resolution as established within the department. Acts as liaison between appeals/billing staff and the supervisor with finding resolutions to billing matters.
Responds to questions and requests from insurance companies.
Supports customer service unit in answering billing and appeals questions.
Acts as back-up support for Accounts Receivable staff during peak times, vacations and illnesses.
Working Conditions
This position works remotely; however, occasional onsite presence may be required.
Preferred Qualifications
Two years of college or business school.
Working knowledge of computers, general office equipment, telephone console, medical terminology, collection techniques and communication skills that involves dealing with confidential information.
Advanced knowledge of insurance policies, plans, and appeals process strongly preferred.
Required Qualifications
High school diploma or equivalent high school certification.
Three to five years of previous billing or insurance experience.
Works high volume customer collection calls and/or correspondence to collect delinquent customer balances on an assigned customer portfolio
Collections of disputed/unauthorized customer deductions
Provides customer service regarding collection issues as it pertains to anything that a customer requests or needs to ensure payment of past due balances.
Work and continuously monitor the order release queue where customer orders stop for review
Ensures monthly reporting to direct supervisor with full participation in monthly aging meetings to review the status of the past due balances and aging credits for all accounts within the assigned portfolio.
Prepare final demand letters and/or work out payment plans for customers with delinquent balances as appropriate. Coordinate the placement of accounts to 3rd party collection agencies on an as needed basis.
Prepares customer account statements on a monthly basis.
Processes AR transactions including offsets of debits and credits, offset on account payments against open invoices, etc.
Performs other assigned tasks and duties necessary to support the ITC Department including supporting internal and external audit requests
Maintain the integrity of the customers accounts and the reporting requirements of the company
IDEAL CANDIDATE ATTRIBUTES
3-5 years of high volume Accounts Receivable and corporate collections, preferred.
Self-starter that works well in a fast paced environment with firm deadlines; results oriented
Ability to work in a heavily metric driven organization
Strong customer service and communication skills (both written and verbal)
Strong interpersonal and analytical skills
Strong follow up skills and strong sense of urgency
Strong attention to detail and documentation, goal oriented with sound problem solving skills.
Possess process improvement mindset with a desire to consistently look for ways to improve efficiency and service
Accountability and reliability
Proficient in Microsoft Word and Excel
Perform multiple tasks effectively and adapt to a changing environment
Able to work both independently and as part of a team
A behavioral health company is looking to hire a strong medical biller to assist with the expansion of their workload. This is a fully remote position, but the candidate must be located in Ohio.
Duties: – pulling credit balances from the portal and reports – reviewing Medicare claims and disputing them as needed – collections and payor communication – Software used Excel (pivot tables and VLOOKUP’s) and Carelogic
Candidate must be able to pass a drug screen and background check
Requirements
Medical Billing, Microsoft Excel, Medical Claims, Credit Balance, Medical Collections, Resolve Disputes, Behavioral Health
Insurance Claims Processing – Generate and submit insurance claims to various third-party payers (private insurance companies, Medicare, Medicaid) electronically or through paper submissions.
Verify insurance eligibility and coverage for each patient prior to submitting claims.
Review claims for accuracy, completeness, and compliance with regulatory requirements.
Follow up on unpaid or rejected claims and resubmit as necessary.
Working out of a queue all day, or multiple queues.
Ideally this person has knowledge of insurance follow up/collections, this will help make them well rounded in for this opportunity
Utilize Epic EMR System daily.
Metrics: 100 claims per day, get edits from Epic, (activity acted on)
Need to have someone that can hit the ground running, limited training here.
The Collections Specialist is responsible for following up with invoices that have been sent to payers but have not yet been paid. This individual is also responsible for researching denials and converting them.
The starting pay for our Collections team is $19.00 per hour. In addition to compensation, our full-time employees are eligible to receive the following competitive benefit package including Health, Dental, Vision, and Life insurance options, 401(k) Savings Plan with Employer Match, Employee Stock Purchase Plan, and 100% Remote Opportunity!
**Must have Medical Collections Experience to be Considered**
Essential Job Functions • Process at least 5 claims per hour • Manage a portfolio of payers, ensuring collections, aging and denials are being processed in a timely fashion • Assist with billing efforts by eliminating denials and keeping payer rules up to date • Perform month end reconciliation; assisting other departments as needed • Meet daily, monthly and quarterly collection goals set by management • Ensure work being performed meets internal and external compliance requirements
Requirements • High school diploma or GED required • Minimum of 2 years related experience in Medical Insurance Collections; healthcare, medical office, customer service required • Proficient in Microsoft suite of products including Outlook, Word and Excel • Strong basic math and accounting skills • Proven ability to manage in a high call volume environment with accuracy and efficiency
Title: Search Quality Rater – US Only – English – Remote, Fixed Term Employee, Part time Location: Remote working; You Must currently reside in the following US State: FL, TX, WY, NC, MD, WI, IL, PA, GA, OH, IN, VA, DE, AR, MN, MO, AZ, ID, NE, NM, IA, NH, MI, MT, RI, OK Work Schedule: Part time, minimum of 10 hours per week, maximum of 19 hours per week until the end of July 2024 (with possible extension until December 2024).
Compensation: Fixed $15.00 USD per hour Experience: No prior experience required Start Date: April 2024 to May 2024
Overview: Are you a web-savvy, search expert with a talent for finding things online by using just a few words…. Do you want to influence the future of global AI search. If so, we want you on board! Working on behalf of RWS, you will test and evaluate how our clients’ search engine responds to everyday searches from everyday people. Using your search expertise, you will work through a variety of assignments playing a crucial part in enhancing AI data which will be used to improve the online search engine experience of our clients’ users.
You: Inquisitive by nature with a real interest in AI Have excellent skills in online research Enjoy working in a fast-paced environment Continually maintain quality and accuracy SLAs Have a strong understanding of popular culture in your locale (US) Have the self-discipline to stick to a schedule and get the work done despite the potential distractions of a home office. Be a critical thinker with ability to analyse information and assess its relevance or significance
Requirements: Located in any of the following US States: AR, AZ, DE, FL, GA, IA, ID, IL, IN, MD, MI, MN, MO, MT, NC, NE, NH, NM, OH, OK, PA, RI, TX, VA, WI, WY Fluent in English and locale language, with the ability to follow instruction Commit to a minimum of 10 hours and a maximum of 25 hours per-week Must sign and adhere to project NDA Ability to pass an assessment and background checks to onboard as part of the team Have a smartphone and personal computer with reliable internet connection Reliable antivirus software to protect your computer as you surf the web Must pass training modules and a required test created by our client before commencing work Work benefits: Work from home. Work-life balance – maintain your lifestyle while you work. Timely payments made directly to your bank account.
Apply now to get started! Submit your information to our RWS iCIMS Applicant tracking system and complete our application assessment If your application is successful, you will be asked to complete a test to verify your skills Be enrolled in to further training NB; Regrettably we are unable to offer a role to anyone who is currently working for RWS as a freelancer or who is currently employed by another company as a “Search Quality Rater”
Life at RWS
At RWS, we’re here for one purpose: unlocking global understanding.
As a unique, world-leading provider of technology-enabled language, content, and intellectual property services, we remove the barriers to communication to make global connection possible. Our unrivalled experience and deep understanding of language have been developed over more than 60 years. As we look to shape the future, our ambition is to create a world where understanding is universal for everyone.
We work with over 80% of the world’s top 100 brands, more than three-quarters of Fortune’s 20 ‘Most Admired Companies’ and almost all the top pharmaceutical companies, investment banks, law firms and patent filers. Our client base spans Europe, Asia Pacific and North and South America. Our 65+ global locations across five continents service clients in the automotive, chemical, financial, legal, medical, pharmaceutical, technology and telecommunications sectors.
If you like the idea of working with smart people who are passionate about breaking down language barriers and giving back to their communities, then you’ll love life at RWS. Our work fundamentally recognizes the value of every language and culture. So, we celebrate difference, we are inclusive and believe that diversity makes us strong.
We want every employee to grow as an individual and excel in their career. In return, we expect all our people to live by the values that unite us: to partner with colleagues and clients, to adopt a pioneering spirit, to be positive in progressing the work we do, and always to deliver what we promise.
RWS Values
Get the 3Ps right – Partner, Pioneer, Progress – and we´ll Deliver together as One RWS.
As an Intune Engineer, you will be responsible for the design, implementation, and management of Microsoft Intune solutions. Your primary focus will be on ensuring the effective deployment, configuration, and ongoing support of Intune for endpoint management and security within the organization for a fleet of approximately 600 devices. This position will have a significant impact on Aura’s day to day operations.
Day to day:
Intune Deployment and Configuration:
Design and implement Microsoft Intune solutions for endpoint management, including device enrollment, policy configuration, and application deployment.
Endpoint Security:
Implement security policies and configurations to ensure the protection of endpoints through Intune.
Manage security baselines and compliance policies to meet organizational security standards.
An MCBC Administrative Support person must be prepared to “roll up their sleeves” and help where needed on a range of projects, events and volunteer recruitment. You’ll be an integral part of our small team, taking the lead on all administrative responsibilities, including: ● Data entry: input and update information into Salesforce accurately and efficiently. This data can include customer information, sponsorship and other opportunities, account details, and more. ● Handling correspondence, including answering emails, text/phone calls, and inquiries from the general public. ● Processing incoming and outgoing mail. This includes donations, and preparing mailings for new members. ● Prepare donations and payments for processing by MCBC’s bookkeeper ● Providing general HR support for the organization. Assisting in the dissemination of new or updated HR policies, procedures, and employee handbook updates. ● Maintain organized filing systems, both physical and digital, to ensure easy retrieval of donation documents and correspondence. ● Assist with event execution, requesting certificates of insurance, ordering permits, and other tasks when necessary. ● Volunteer recruitment, and coordinating volunteer activities. This can include creating schedules, recruiting help, assigning tasks, and ensuring that volunteers have the information and resources they need to succeed
Who: You must be at least 18 years old, with a strong knowledge of one or more of the following sports: football, basketball, baseball, ice hockey, and volleyball. You will be a vital part of the team, providing real-time data in an exciting work environment
Responsibilities:
– Attend games and collect data in venue, in real time
– Monitor and verify game details, such as changes in starting time, venue info
– Uphold the morals, ethics and standards of the profession
Requirements:
– Excellent knowledge of the rules, teams and players in the game assigned
– Must be able to attend matches in person via your own means of transport
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