Senior Systems Designer

Cold Iron is seeking a Senior Systems Designer to join our world class team on our next AAA title for consoles and PC! This position is fully remote and open to applicants across the country. Are you passionate about innovating and working on large-scale game systems? Do you revel in creating combat experiences that are both challenging and gratifying?

Here’s the most important one: Do you do it all for the game? Because you know that your talents are needed to make sure that even the best development teams get an awesome experience out the door?

Awesome. Come join our creative, collaborative studio and get involved creating systems and combat with a tight, integrated team of game developers.

Your Day to Day

You can expect to be responsible and accountable for the following:

  • Working with the project leads and other designers to develop gameplay systems that work within the overall vision of the product
  • Brainstorming, documenting, and implementation of combat and other gameplay systems
  • Working closely and effectively with others in cross-discipline teams during implementation and iteration
  • Creating long-term RPG advancement gameplay systems
  • Gathering playtest data, both quantitative and qualitative, and aid in coming up with solutions to make the gameplay and systems as fun as possible
  • Qualitatively and quantitatively study and learn from combat systems in action, shooter, or MMORPG games

Your Career Progression

Do the best work of your career! No, really, that’s what we expect of you. Come aboard and work with industry veterans all working to improve their craft and become better game developers. Your portfolio of experience will grow, and the size of the audience you reach will expand exponentially. The small team atmosphere allows you to contribute more and have greater ownership over what you do day to day.

Requirements

  • Experience working on combat related systems in games, focusing on gameplay feel, class or role balance, and NPC design
  • Experience working on large and complex gameplay systems including RPG economies, crafting systems, or loot driven systems with large number of assets
  • Math and analytical skills with a proficiency in Excel
  • Sense of level design, scale, and gameplay flow
  • Enjoys playing and creating games
  • Self-driven with strong communication skills
  • Ability to tackle challenges and problem solve with a strong sense of ownership
  • Ability to work closely with many other disciplines and be a team player

Salesforce Administrator

Everlight Solar is seeking a skilled Salesforce Administrator who will design and code functional programs and applications, producing fully functional software applications according to requirements. As a Salesforce Administrator, you play a key role in serving our clients and team members.

Must own a Mac computer and be fluent with the Apple ecosystem of software (iOS, macOS, iWork, etc.)

Everlight Solar is a rapidly growing company and the leader of solar energy in the Midwest. We offer a unique experience that fosters individual growth and rewards performance. Our culture at Everlight is extremely important to us. The work environment is fast-paced and dynamic. We value teamwork, quality, innovation, and customer success. Our ideal candidate is self-motivated, detail-oriented, has excellent problem-solving abilities, is passionate about delivering results on-time, exceeding expectations, and ensuring success for our teams.

Responsibilities:

  • Ensure consistent alignment of Sales and Marketing to optimize the sales process with a focus on improving and evolving a qualified lead process, distribution, and management.
  • Provide Sales and Marketing with accurate reporting on the organization’s key performance indicators on a consistent basis including actionable steps to improve the experience delivered to current and future customers
  • Demonstrated ability to meet deadlines, handle and prioritize simultaneous requests, and manage laterally and upwards
  • Creative and analytical thinker with strong problem-solving skills
  • Ability to critically evaluate information gathered from multiple sources, reconcile conflicts, decompose high-level information into details, abstract up from low-level information to a general understanding, and distinguish user requests from the underlying true needs
  • Ability to assess the impact of new requirements on Salesforce.com and all upstream and downstream applications, systems and processes

Requirements:

  • Minimum two years of experience as a Salesforce.com administrator
  • Salesforce.com Admin (ADM201) certification required
  • Salesforce.com Advanced Admin (ADM211) certification preferred
  • Proven ability to design and implement new processes and facilitate user adoption.
  • Strong understanding of the platform, with the ability to build custom apps and objects, formula fields, workflows, custom views, and other content of intermediate complexity
  • Strong understanding of Salesforce.com best practices and functionality
  • Strong data management abilities
  • A documented history of successfully driving projects to completion
  • A demonstrated ability to understand and articulate complex requirements
  • Excellent project management skills and a positive attitude
  • Must demonstrate exceptional verbal and written communication skills
  • Must demonstrate ability to communicate effectively at all levels of the organization

Salesforce Administrator

Must own a Mac computer and be fluent with the Apple ecosystem of software (iOS, macOS, iWork, etc.)

Everlight Solar is a rapidly growing company and the leader of solar energy in the Midwest. We offer a unique experience that fosters individual growth and rewards performance. Our culture at Everlight is extremely important to us. The work environment is fast-paced and dynamic. We value teamwork, quality, innovation, and customer success. Our ideal candidate is self-motivated, detail-oriented, has excellent problem-solving abilities, is passionate about delivering results on-time, exceeding expectations, and ensuring success for our teams.

Responsibilities:

  • Ensure consistent alignment of Sales and Marketing to optimize the sales process with a focus on improving and evolving a qualified lead process, distribution, and management.
  • Provide Sales and Marketing with accurate reporting on the organization’s key performance indicators on a consistent basis including actionable steps to improve the experience delivered to current and future customers
  • Demonstrated ability to meet deadlines, handle and prioritize simultaneous requests, and manage laterally and upwards
  • Creative and analytical thinker with strong problem-solving skills
  • Ability to critically evaluate information gathered from multiple sources, reconcile conflicts, decompose high-level information into details, abstract up from low-level information to a general understanding, and distinguish user requests from the underlying true needs
  • Ability to assess the impact of new requirements on Salesforce.com and all upstream and downstream applications, systems and processes

Requirements:

  • Minimum two years of experience as a Salesforce.com administrator
  • Salesforce.com Admin (ADM201) certification required
  • Salesforce.com Advanced Admin (ADM211) certification preferred
  • Proven ability to design and implement new processes and facilitate user adoption.
  • Strong understanding of the platform, with the ability to build custom apps and objects, formula fields, workflows, custom views, and other content of intermediate complexity
  • Strong understanding of Salesforce.com best practices and functionality
  • Strong data management abilities
  • A documented history of successfully driving projects to completion
  • A demonstrated ability to understand and articulate complex requirements
  • Excellent project management skills and a positive attitude
  • Must demonstrate exceptional verbal and written communication skills
  • Must demonstrate ability to communicate effectively at all levels of the organization

Salesforce Administrator

Everlight Solar is seeking a skilled Salesforce Administrator who will design and code functional programs and applications, producing fully functional software applications according to requirements. As a Salesforce Administrator, you play a key role in serving our clients and team members.

Must own a Mac computer and be fluent with the Apple ecosystem of software (iOS, macOS, iWork, etc.)

Everlight Solar is a rapidly growing company and the leader of solar energy in the Midwest. We offer a unique experience that fosters individual growth and rewards performance. Our culture at Everlight is extremely important to us. The work environment is fast-paced and dynamic. We value teamwork, quality, innovation, and customer success. Our ideal candidate is self-motivated, detail-oriented, has excellent problem-solving abilities, is passionate about delivering results on-time, exceeding expectations, and ensuring success for our teams.

Responsibilities:

  • Ensure consistent alignment of Sales and Marketing to optimize the sales process with a focus on improving and evolving a qualified lead process, distribution, and management.
  • Provide Sales and Marketing with accurate reporting on the organization’s key performance indicators on a consistent basis including actionable steps to improve the experience delivered to current and future customers
  • Demonstrated ability to meet deadlines, handle and prioritize simultaneous requests, and manage laterally and upwards
  • Creative and analytical thinker with strong problem-solving skills
  • Ability to critically evaluate information gathered from multiple sources, reconcile conflicts, decompose high-level information into details, abstract up from low-level information to a general understanding, and distinguish user requests from the underlying true needs
  • Ability to assess the impact of new requirements on Salesforce.com and all upstream and downstream applications, systems and processes

Requirements:

  • Minimum two years of experience as a Salesforce.com administrator
  • Salesforce.com Admin (ADM201) certification required
  • Salesforce.com Advanced Admin (ADM211) certification preferred
  • Proven ability to design and implement new processes and facilitate user adoption.
  • Strong understanding of the platform, with the ability to build custom apps and objects, formula fields, workflows, custom views, and other content of intermediate complexity
  • Strong understanding of Salesforce.com best practices and functionality
  • Strong data management abilities
  • A documented history of successfully driving projects to completion
  • A demonstrated ability to understand and articulate complex requirements
  • Excellent project management skills and a positive attitude
  • Must demonstrate exceptional verbal and written communication skills
  • Must demonstrate ability to communicate effectively at all levels of the organization

Salesforce Administrator

Responsibilities:

  • Ensure consistent alignment of Sales and Marketing to optimize the sales process with a focus on improving and evolving a qualified lead process, distribution, and management.
  • Provide Sales and Marketing with accurate reporting on the organization’s key performance indicators on a consistent basis including actionable steps to improve the experience delivered to current and future customers
  • Demonstrated ability to meet deadlines, handle and prioritize simultaneous requests, and manage laterally and upwards
  • Creative and analytical thinker with strong problem-solving skills
  • Ability to critically evaluate information gathered from multiple sources, reconcile conflicts, decompose high-level information into details, abstract up from low-level information to a general understanding, and distinguish user requests from the underlying true needs
  • Ability to assess the impact of new requirements on Salesforce.com and all upstream and downstream applications, systems and processes

Requirements:

  • Minimum two years of experience as a Salesforce.com administrator
  • Salesforce.com Admin (ADM201) certification required
  • Salesforce.com Advanced Admin (ADM211) certification preferred
  • Proven ability to design and implement new processes and facilitate user adoption.
  • Strong understanding of the platform, with the ability to build custom apps and objects, formula fields, workflows, custom views, and other content of intermediate complexity
  • Strong understanding of Salesforce.com best practices and functionality
  • Strong data management abilities
  • A documented history of successfully driving projects to completion
  • A demonstrated ability to understand and articulate complex requirements
  • Excellent project management skills and a positive attitude
  • Must demonstrate exceptional verbal and written communication skills

Certified Hospital Inpatient Medical Coder

Remote Hospital Inpatient Coder

This is a full-time, remote/work from home, hourly position on the UCHealth Inpatient Coding team. Potential opportunity for eligible out-of-state applicants. Flexible work schedule. All required hardware/software provided, including dual monitors, keyboard, mouse. Assigns ICD-10-CM and PCS codes using computer-assisted-coding tools, and applies appropriate coding classifications for assigned service lines. 

Job duties

  • Responsible for accurately assigning and sequencing ICD-10 CM and PCS codes and POA indicators, identifying query opportunities, and abstracting data based on medical record documentation for all acute care hospital patient types.
  • Appropriately applies official coding guidelines and relevant coding references to all inpatient coding scenarios.
  • Collaborates with CDI, Quality, and leadership to capture necessary quality measures.
  • Enhances coding knowledge and skills with continuing education.

Requirements

  • High School diploma or GED
  • Coding-related certification from AHIMA or AAPC
  • 1 year of Inpatient coding experience OR 3 years of Outpatient coding

Preferred

  • Certified Coding Specialist (CCS) highly desired
  • 3+ years of hospital inpatient coding experience highly desired
  • Level I Trauma coding experience
  • Epic experience
  • 3M encoder experience
  • Computer-assisted coding

Accountant II – General Ledger

The Accountant II – General Ledger is responsible for applying accounting principles to assist in the preparation and processing of accounting transactions, prepare schedules to analyze information, and assist in creating financial reports. US citizenship is required.   Position is 95% remote-telework but we prefer that you are located near an Amentum HQ facility near Chantilly, VA, or Germantown, MD or Fort Worth, Texas for periodic work on-site (team meetings, projects or strategy sessions).

Principal Accountabilities

  • Apply knowledge of accounting principles to activities associated with maintaining ledger accounts.
  • Compile and analyze financial information to create/process accounting transactions.
  • Perform month/quarter/annual close activities which may include analyzing accounts, performing calculations, preparing journal entries, performing account reconciliation, and resolving issues as needed
  • Obtain accounting data for external or internal reporting and audits.
  • Comply with government regulations and internal controls (e.g., SOX).
  • Collaborate with other team members in the development and installation of accounting systems, methods, procedures and controls.

Knowledge & Skills

  • Ability to perform data extraction and manipulation and analyze financial data.
  • Demonstrate proficiency in finance and accounting relational databases (Costpoint, Cognos, Blackline) and Microsoft applications.
  • Ability to work with numbers and complete assignments with attention to detail and a high degree of accuracy.
  • Ability to manipulate, interpret, and analyze data in Excel.
  • Strong analytical and organizational skills to oversee and balance multiple work assignments.
  • Knowledge of General Accepted Accounting principles (GAAP).
  • Effective decision making and problem solving.

Experience & Education

  • Bachelor’s degree in Accounting.
  • Two (2) to four (4) years of previous accounting experience or one (1) to two (2) years in public accounting.

#LI-CJ1

Fully Remote: Global Compensation & Benefits Manager

What will you be doing:

Employee Benefits & Payroll:

  • Research and customise global employee benefits, fostering consistency across all locations by collaborating with local providers.
  • Manage end-to-end payroll processing, encompassing onboarding, benefit adjustments, and terminations on a global scale.
  • Review, plan, manage, and implement the end-to-end annual review process within our HRIS and Payroll systems, taking into account employee performance, market trends, and budget constraints.
  • Process all bonuses, salary increases, and benefit adjustments during annual reviews, coordinating with service providers as necessary.
  • Guide salary offers during recruitment and negotiate compensation packages for new hires, promotions, internal transfers, and other changes.
  • Communicate compensation and benefits information transparently to employees.
  • Provide education on available benefits and changes in legislation and remuneration policies.

Legal Compliance and Policy Updates:

  • Stay updated on labour laws and compliance standards, ensuring that VALR consistently meets legal requirements.
  • Regularly review and update internal policies to align with the latest legal standards in each operating jurisdiction.

Data Analysis and Reporting:

  • Ensure compliance with payroll regulations and oversee submissions of relevant reports such as the Annual Employment Equity Report and Quarterly Stats SA reports.
  • Handle payroll and tax-related annual filings and submissions across all countries of operation.
  • Create, generate, and analyse comprehensive reports to monitor and manage Payroll, Benefits, Leave, and the Annual Review process.
  • Utilise data-driven insights to make informed decisions and enhance the overall performance of compensation and benefits strategies and processes.

HRIS & Payroll Management:

  • Demonstrate an extremely strong understanding of systems and processes, implementing, amending/adjusting, and maintaining HRIS and Payroll systems.
  • Document all processes to establish clear guidelines and enhance the efficiency of global benefits and payroll operations.

Finance:

  • Verify payroll test runs and ensure that any discrepancies are resolved, balancing the payroll to the general ledger.
  • Calculate and post to the ledger the provision for leave and bonuses.
  • Ensure timeous payments of third-party payments, such as medical aid and other benefit providers, including timeous reconciliations.
  • Ensure timeous payments, tracking, and reporting of employee claims and leave.
  • Manage and attend to all payroll queries.

Development Operations

JOB SUMMARY

Reporting to the Associate Director of Development Operations, the Associate will be responsible for all things data– from making sure our donor data is impeccable to managing our reporting data. You will play a critical role in delivering proof of impact back to each donor. You will be a part of the larger Development Operations team that aims to deliver best-in-class operations to support our fundraising goals.

YOU’LL BE RESPONSIBLE FOR…

●      Overseeing the donor database in our CRM (Salesforce), ensuring accurate and up-to-date records with regular contact and donation data cleaning and maintenance

●      Working closely with the Fundraising team to provide timely and accurate mailing lists and constituent reports requested to support fundraising needs

●      Updating and maintaining our proprietary reporting databases or files to ensure accurate and current information is available for use by others

●      Gathering and summarizing data from various sources to complete reports and special projects

●      Creating and monitoring data quality reports to ensure data standards are being met – identify, investigate, and resolve data gaps, and actively find opportunities for process improvements

●      Informing policies, procedures, and standards to maintain data quality

●      Providing additional support during high-season– donation coding and supporting tax receipt when necessary

YOU MUST HAVE…

●      Bachelor’s degree, preferably in operations, information systems, or other business-related field

●      1-2 years of data entry or management experience

●      Experience working with Salesforce or comparable CRM database

●      Proficient Excel skills

●      Outstanding written and oral communication skills

●      Ability to work independently in a remote environment

●      Highly-developed interpersonal skills

●      Project management experience is a plus

Bookkeeper – US

ob Description

Elevate Your Career with Expert Bookkeepers for a Non-Profit Journey! Join Us Today.

Location: North or South Carolina preferred

Are you a numbers enthusiast? A detail-oriented data aficionado with QuickBooks experience and a thirst for knowledge? Do you have experience of working for an accounting firm and a non-profit?  An exciting opportunity awaits you! If you’re an Accountant eager to learn and adapt, we want you on our team.

We’re in search of reliable professionals who can seamlessly blend enthusiasm with reliability for our non-profit mission. If you’re looking for remote and flexible part-time engagement that transitions into a full-time commitment, your journey starts here.

Rewards that Matter: Embrace a rewarding hourly compensation of $21 to $25. Your dedication and growth will be acknowledged, especially as you contribute to the vital mission of our non-profit organization.

NOTICE: It is essential to attempt the Prescreeners provided during the application process. Applications lacking completed pre-screeners will not be taken into consideration for this position.

Tackle Dynamic Responsibilities:

  • Categorize transactions meticulously using QuickBooks online
  • Reconcile accounts accurately under the guidance of a CPA
  • Craft financial reports that resonate within the non-profit landscape
  • Manage bills and invoices with finesse
  • Excel in data entry, with a focus on quality
  • Work your magic in Excel’s domain
  • Foster continuous improvement within a non-profit context
  • Engage effectively with clients and stakeholders
  • Lead impactful meetings for results, with CPA support

Requirements

  • A Bachelor’s degree – your foundation for excellence
  • Strong time management skills
  • Passion for business and finance
  • Independent work style that delivers results
  • Effective management upwards, with guidance from a CPA
  • Proficiency in virtual communication
  • Exhibit patience and persistence
  • Strong communication skills
  • Curiosity and adaptability
  • Uphold honesty and integrity
  • Seek assistance proactively
  • Keen eye for detail, ensuring accuracy
  • Tech-savviness for modern tools
  • Prioritization skills for multitasking
  • Experience of working with a CPA/Accounting firm
  • Experience within the non-profit sector

Import Specialist

The experience we feel we need

  • Expert-level knowledge of Excel: Command an expert-level proficiency in Excel, showcasing an adept ability to manipulate and analyze data, create advanced formulas, and generate comprehensive reports. Your mastery of Excel is a cornerstone for driving efficiency and informed decision-making.
  • Basic-level knowledge of database concepts.
  • Demonstrate an innate knack for organization, driven by an unwavering commitment to detail. Your passion for perfection ensures that no gap goes unnoticed, creating an environment of seamless operations and heightened efficiency.
  • Excel in both verbal and written communication, articulating complex ideas with clarity and coherence. Your excellent communication skills foster collaborative environments, ensuring that information is conveyed effectively and comprehensively.
  • Agility: You’re an individual who can adapt and communicate technical details to non-technical people. You’re a team player who’s able to empathize and jump in for additional support when needed.
  • Growth Mindset: You thrive on growing with your team by doing fast-paced work and you’re striving to learn new workflows to have a stronger impact.
  • Customer Care: You’re open to helping our Support team to help our customers to create a smooth transition to Jane. You lead with kindness and empathy in your communication.

Bonus points:

  • Ability to transform data programmatically.
  • Proficient in both Windows and Mac.
  • You’ve used Jane on the patient or customer end.

Operations Manager, Health

In This Role You Will:

Your role will begin as an IC reporting directly to the VP of health, with the opportunity to build a coaching operations team underneath you in the future. Initially, you will be responsible for three crucial areas:

  1. Manage the supply of dietitians
    • As we build demand for insurance-reimbursed dietitian video calls, you will be responsible for always ensuring we have an adequate supply of dietitians in the most cost-effective and scalable way possible.
    • This includes building hiring forecasts and analyzing current supply & demand models.
  2. Revise existing workflows & build new workflows across all of the dietitian touchpoints to create systems that are scalable and optimized
    • Spot inefficiencies and bottlenecks in the organization’s processes and optimize resources based on metrics and key performance indicators.
    • Work cross-functionally to identify process issues and lead the implementation of solutions to improve these issues, using data along the way.
  3. Lead data analytics for the health team
    • Communicate data and strategy through well-built and easy-to-follow models.
    • Support department decisions with data by finding answers to questions within our data and setting up appropriate dashboards as needed.

To Thrive In This Role You Will Need:

  • Strong technical proficiency – Thinks analytically and leverages data to make decisions. Experience with data processing and proficiency in Excel. Basic understanding of SQL. Proficiency with applications such as production automation, data entry, and using software to access project data, track budget information, and design processes.
  • Strategic planning & risk analysis skills.
    • Ability to understand targets and goals and build a cohesive roadmap to achieving them
    • Can engage in both big-picture thinking and day-to-day execution
    • Foresight to anticipate and solve problems
    • Strong understanding of higher-level business goals, financials, and KPIs
    • Strong business financial knowledge
  • Detail-oriented with great organizational skills.
  • A self-starter who thrives in ambiguity and can figure things out given high-level direction.
  • Is excited by the startup environment and bringing structure to chaos.
  • Has no problem getting projects off the ground from 0 to 1.

Preferred Qualifications:

  • 3+ years experience in operations, consulting, analytics, and/or financial services.
    • Bonus points if previously at a startup, extra bonus points if previously at a health startup.
  • Project management experience.
  • Experience scaling a human workforce is a plus.
  • Experience with people management is a plus.

Rebate Specialist – Remote

Our work matters. We help people get the medicine they need to feel better and live well.  We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Rebate Specialist – Remote

Job Description

  • Maintains a clear understanding of rebate client contractual requirements, ensuring compliance with service level agreements.
  • Understands and adheres to departmental policies and procedures.
  • Processes quarterly manufacturer rebate invoicing for assigned clients or manufacturers.
  • Reviews invoicing practices, including pre-invoicing quality reviews and adjustments for fee for service, managed care, diabetic supply and supplemental rebate programs.
  • Produces reports, including federal rebate 64.9R. 
  • Works directly with manufacturers pertaining to dispute resolution.
  • Acts as primary contact for manufacturers to answer/resolve rebate questions.
  • Conducts quality validation and approval of claim files.

Minimum Qaulifications

  • 2+ years of experience in customer support, analysis or business, preferably within a financial environment.
  • Associate’s degree required or an additional 2 years of relevant experience in lieu of degree.
  • Strong verbal and written communication skills.
  • Strong working knowledge of Microsoft Word and Excel.

Potential pay for this position ranges from $18.87 – $28.30 based on experience and skills. Pay range may vary by 8% depending on applicant location.

Data Center Associate

Collects and inputs domestic theater and studio related data. Identifies and utilizes various methods of reporting to complete data.

Key Activities:

  • Monitor theatres normal reporting time and evaluate the need to contact or communicate with the day shift on issues that can be handled during the day.
  • Keep track of received data and source documents.
  • Prepares and sorts source documents, and identifies and interprets data to be entered.
  • Researches and locates theaters to be entered.
  • Enters alphabetic, numeric, or symbolic data from source documents into computer following format displayed on screen, and enters necessary codes.
  • Researches pre-release data and contacts originator to confirm.
  • Contacts originators of source documents to resolve questions, inconsistencies, or missing data.
  • Makes necessary corrections to information entered.
  • Successfully performs on job function in the Data Center with minimal mistakes.
  • Helps peers as time permits.
  • Makes suggestions to improve the processes.
  • Trained at and performs three different job functions in the Data Center with minimal errors.
  • Takes initiative to float from job function to job function to meet department needs.
  • Assists new Data Center Employees.
  • Trains new employees as required by Manager.
  • Pay rate for CO (excluding Denver) $14.42 Hourly
  • Pay rate for WA (excluding Seattle/SeaTac) $16.28 Hourly

Core Qualifications:

  • HS Diploma or GED
  • 0-1 year of related experience and/or training
  • Data entry experience
  • Experience using internet search engines in a research capacity
  • Demonstrated proficiency with Microsoft Office Suite
  • Ability to meet deadlines in a fast-paced environment
  • Detail-oriented
  • Ability to write simple correspondence
  • Possesses solid oral and written communication skills
  • Effectively present information in one-on-one and small group situations to customers, clients, and other employee organizations
  • This is a part-time casual position scheduled for night shifts only. Night shifts typically begin at 7pm but may begin as early as 6pm. Must be willing to work past midnight (Pacific Time).
  • Availability during all nights (week nights, weekend nights, and holiday nights) is required.

Quality Assurance Consultant

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

CVS Healthcare is looking for hands-on, passionate, driven candidate who want to join a high energy and growing team to make a difference in customers’ lives and who want to be on the forefront of digital innovation that aims to modernize the health care industry. This position is with a growing IT team that supports critical Medicare risk adjustment related business processes.

This is an opportunity for someone with AWS cloud experience to help define best practices for technical documentation and QA practices.

·         Experience with creating Technical functional Specification documentation within specified time frames to solve most complex problems (multiple interfaces with other systems across multiple business units) considering all impacted components from an end-to end perspective.

·         Ensure the quality of one or more applications or technologies within the construct of the application including data, platform, function, and system interfaces. 

·         Interacts with other areas of the business’ technology organization to effectively develop the test framework to align with the business strategy and goals for the release. 

·         Responsibilities also include translating business functional requirements into technical requirements, documenting technical specifications, and performing related testing tasks.

·         Assess existing healthcare solutions and digital health projects against both internal and external requirements.

Required Qualifications·       

  • – 2-3 years   Knowledge of writing SQL queries.
  • ·       1 year   Exposure to Cloud Based technologies preferably AWS.
  • ·         Strong written and verbal communication skills. 
  • ·         Work independently and/or as a part of cross-functional team. 
  • ·         General Business/Applying Reasoned Judgment.
  • ·         General Business/Communicating for Impact.

Preferred Qualifications

·         Follow industry best practices to ensure compliance to company procedures and requirements. 

·         Experience in quality engineering practices and execution of the various types of test creation and execution.

·         Experience working with Agile software development. 

·         Selecting and Applying Technology Solutions

·         Flexible and positive attitude.

Education

The highest level of education desired for candidates in this position is a Bachelor’s degree in Computer Science or related fields or equivalent experience.

Pay Range

The typical pay range for this role is:

$63,300.00 – $139,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  

Workers Compensation Claims Representative | Remote

Workers Compensation Claims Representative | Remote
Remote
Candidates outside of the preferred geographic regions listed above may still be considered based on level of experience.

2 years of Workers Compensation claims management experience

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
ARE YOU AN IDEAL CANDIDATE? To analyze low-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE

Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Negotiating settlement of claims within designated authority.
Communicating claim activity and processing with the claimant and the client.
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS

Education & Licensing: 2 years of claims management experience or equivalent combination of education and experience required.

High School Diploma or GED required. Bachelor’s degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.
TAKING CARE OF YOU

Flexible work schedule.
Referral incentive program.
Opportunity to work in an agile environment.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

Benefits and Authorization Specialist – ** REMOTE Th-Mon

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.

As a proud recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is supporting and building a workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.

Job Description Summary:

Hiring Range From $20/hour

This position is responsible for processing benefit verifications of all new referrals within the expected speed and quality. Other duties as assigned.

REMOTE OPPORTUNITY!!

Hours: Thursday to Monday (inc weekend)

Thurs, Fri and Monday: 930-6pm PST

Sat and Sun 9-530 PST
Job Description: ​

Job Responsibilities

Processes benefit verification or authorization for all new referrals with speed and accuracy.
Assist AVA Supervisor and Manager with special assignments as needed.
Supervisory Responsibilities

Does this position have supervisory responsibilities? NO

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

Basic Education and/or Experience Requirements

High school diploma or equivalent is required.
Minimum of two years of experience in related experience.
Basic Qualifications

Ability to multi-task and support numerous referrals/priorities at one time.
Ability to work in a fast past environment.
High degree of self-discipline in maintaining productivity expectations.
Must be detail-oriented and have a high degree of quality focus.
Travel Requirements

Not Applicable

Preferred Qualifications & Interests

Healthcare/medical billing experience preferred.

Due to some state pay transparency laws, below is the minimum pay for the position:

Salary to be determined by the applicant’s education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Minimum pay is $19.19+
Benefits:

-401k

-Dental Insurance

-Disability Insurance

-Health Insurance

-Life Insurance

-Paid Time off

-Vision Insurance

Sales Order Processing/Billing

The individual for this role will be responsible for collections, posting receipts, clearing unapplied cash, and other billing-related items for customers.

Job Duties:  

• Process and post payments to customer accounts including cash, checks, wires, bank transfers, and credit card transactions.

• Respond to customer billing questions, customer disputes and escalate to supervisor or manager as needed.

• Assist in the mailing of the invoices to customers and processing all administrative materials as required

• Quality assurance of monthly invoices generated from various billing platforms

• Maintain Accounts Receivable policies, procedures, and controls

• Assist in Collection of Accounts Receivable 

• Monitor and manage unapplied cash on a monthly basis

Job or Project Requirements and Experience:  

• Experience in posting and applying cash receipts and credit cards

• Experience with Oracle Financials software is a plus.

• Excellent customer service and problem-solving skills

• Must have strong analytical and be able to multi-task

• Strong organizational, verbal, and written communication skills, attention to detail, and a strong consistent performer desire to learn. Willingness to go to the “extra mile” to get the job done right

• Ability to work through issues with customers, employees, and colleagues in a calm, proficient, and effective manner

• Ability to work in a fast-paced environment at a company growing in revenue

Please note this role is a Temporary Assignment 

ACCOUNTS RECEIVABLE MEDICAL BILLER

Our client, a growing orthopedic group, is expanding throughout the tri-state area and is looking to onboard a new Accounts Receivable Medical Biller.

SALARY/HOURLY RATE:

$22/hr – $26/hr

POSITION OVERVIEW:

The Accounts Receivable Medical Biller will be responsible for a high volume of Accounts Receivable follow-up to commercial insurance companies. The Accounts Receivable Medical Biller will not be responsible for patient outreach or self-pay.

RESPONSIBILITIES OF THE ACCOUNTS RECEIVABLE MEDICAL BILLER:

  • AR Follow-up
  • Run AR Aging report
  • 30/60/90-day collection calls
  • Follow up on denied claims
  • Collaborate with insurance companies to resolve billing discrepancies
  • Send out corrective claims
  • Obtain health insurance authorization for procedures

QUALIFICATIONS FOR THE ACCOUNTS RECEIVABLE MEDICAL BILLER:

  • 1+ years of Medical Billing/Accounts Receivable follow-up experience
  • Strong communication skills
  • Exposure to Eclinical Works and Excel is a plus

EDUCATION REQUIREMENTS:

  • No degree is required

BENEFITS:

  • PTO
  • Paid holidays
  • Floating holidays
  • Flexible work time
  • Fully remote work
  • 401k with company match
  • Tuition reimbursement
  • Medical, dental, and vision

A

Networks Manager

As a Networks Manager at Airalo, you will be responsible for expanding into new partner networks across the globe as well as permanently improving the rates, services, and quality of our existing partner networks. You are someone who is obsessed with providing the best rate possible (without compromising network quality) to global travelers in need of a reliable data connection when leaving their home network.

Responsibilities include but are not limited to:

  • Represent Airalo as the ideal interface to mobile network partners on a global level
  • Add & improve network partnerships
  • Negotiate terms and conditions of wholesale and reseller contracts with host mobile network operators
  • Manage and assure regulatory compliance requirements for all our local markets and provide information to product management
  • Monitor and ensure network quality is provided by our partners
  • Define and run traffic, sales, and monetary analytics
  • Develop methods to ensure the unification of conditions and agreements
  • Prepare the rollout of new markets
  • Connect and integrate foreign mobile networks with Airalo’s OSS and BSS platform
  • Perform escalations in case of network quality issues and availabilities
  • Define and perform reconciliation processes

Must-haves:

  • Sound understanding of eSIM technology and use cases
  • Good overview in Telecommunication Network technologies like Mobile Core (PGW, IMS, Voice GW, HSS), OSS & BSS
  • Understanding of different Mobile Services such as MOC/MTC, SM-MO, SM-MT, Data, Roaming, International Calling
  • Understanding of different Mobile Network Generations like 2G, 3G/UMTS, 4G/LTE, 5G NSA, and 5 G SA and how it influences customer experiences
  • Ideally, having served on the management team of an MVNO or MVNA, respectively, with a hands-on mentality
  • Having negotiated at least two different wholesale agreements on behalf of, or with, MVNOs with Host Mobile Network operators
  • Deep knowledge of subscriber life cycles with mobile services
  • Understanding the regulatory requirements for providing mobile services
  • Be familiar with KYC processes for mobile subscriptions
  • Excellent English skills; in writing, speaking, and reading – business fluent
  • 5 years minimum relevant experience in the mobile telco industry

Systems Engineer- Platform (Remote: US)

Job Responsibilities

  • Accelerate engineering productivity, reduce operational toil, increase consistency, and improve the lives of your coworkers
  • Automate management of all aspects of cloud and on-prem infrastructure with Kubernetes operators and Crossplane
  • Automate management of data pipeline infrastructure such as Apache Kafka and CockroachDB.
  • Automate all aspects of application life-cycle (deployments, infrastructure management, application monitoring, change management, security, etc.)
  • Manage our customer-facing Okta instance, with an eye towards automating the onboarding process.
  • Provide common tooling for metrics, tracing, cost-management, backup and recovery
  • Provide guidance on best practices regarding application performance, cost-effectiveness, security, and reliability
  • Raise the technology bar by trailblazing, supporting, and evangelizing the platform to DomainTools developers and operators
  • Help grow and train a cross-functional platform team consisting of developers and systems engineers

Location: Remote within the United States
Compensation: $100,000-$150,000 USD + 10% Performance Bonus

Requirements

Key Applicant Qualifications

  • Delivery
    • 3+ years systems engineering experience with a strong foundation in Cloud infrastructure.
    • Familiarity with Kubernetes and declarative infrastructure management patterns
    • Familiarity with common auth mechanisms such as SSO, AWS IAM.
    • Self-motivated, able to work independently, eager to learn.
    • Nice to have: experience on a platform team or in a strong DevOps ecosystem.
  • Evangelism
    • Proven ability to interact, present and influence at all levels of companies, from executives to engineers
    • Prior experience bridging development and operations teams
    • Excellent written and verbal communication skills
  • Inspiration
    • Passion for Cloud Native software and design patterns
    • Believe in and practice DevOps philosophy
    • Excited about security space!


Pluses

  • Bachelor’s degree or higher in Computer Science/related field or equivalent experience
  • Experience writing Kubernetes Operators
  • Broad experience with CNCF Landscape projects (e.g. Prometheus, Thanos, Vault, cert-manager, etc.)
  • Experience with streaming data patterns and applications
  • Experience deploying and operating metrics, logging, and tracing stacks at large scale
  • Experience with AuthN/AuthZ (e.g. OAuth) and secrets management
  • Design, implementation and/or maintenance of CI/CD automation and tooling
  • Experience with infrastructure as code and declarative infrastructure
  • Experience with containerization technology and best practices

Data Business Analyst

Bishop Fox is the leading authority in offensive security, providing solutions ranging from continuous penetration testing, red teaming, and attack surface management to product, cloud, and application security assessments. We’ve worked with more than a quarter of the Fortune 100, half of the Fortune 10, eight of the top 10 global technology companies, and all of the top global media companies. Our Cosmos platform, service innovation, and culture of excellence continue to gather accolades from industry award programs including Fast Company, Inc., SC Media, and others. For more than 16 years, we’ve been contributing and giving back to the security community. We’ve published more than 16 open source tools and 50 security advisories in the last five years alone. Learn more at bishopfox.com or follow us on social media. 

Given our exceptional growth, we are expanding and hiring a Data Business Analyst to join us. You’ll be joining an ambitious team who thrives from ensuring accuracy of data, pulling reports and analyses from a variety of sources, and creates dashboards and deliverables that help drive key business decisions. As a Data Business Analyst at Bishop Fox, you will play a pivotal role in continuing to provide accuracy of data while presenting it in a clear and understandable way for our teams and stakeholders. You’ll be at the forefront of data analysis and design that not only breaks through the noise of the cybersecurity space, but also elevates our internal teams.

Responsibilities

  • Design business analysis and data recording systems for use throughout the department
  • Partner with IT on the maintenance of the data design and architecture
  • Maintain databases and perform updates as necessary to ensure accuracy
  • Regularly examine data reports to locate and resolve mistakes / inconsistencies throughout
  • Ability to data mine for driving insights from data
  • Accurately analyze and collect data for various types of business reports
  • Create business reports that provide insight into key data points
  • Communicate the results of data analysis in written and verbal form to managers
  • Support various departments, including marketing and sales, in reaching their goals through analysis
  • Monitor data to identify changes in financial and business trends

Requirements

  • 3+ years of financial or business analyst experience
  • Bachelor’s Degree in Statistics, Computer Science, and/or Business, Finance, or related field OR equivalent relevant professional experience
  • Demonstrated proficiency in Salesforce Analytics, Excel, and SQL
  • Familiarity with Certinia (formerly known as FinancialForce)
  • Experience in a SAS environment
  • Consensus builder with the ability to develop and grow relationships across the company
  • Excels at process building with a demonstrated ability to create templates, documentation, new processes and tools
  • Results oriented- has a sense of urgency about getting work completed
  • Navigates unusual hours and last minute requests with flexibility and calm
  • Team player mentality with the ability to work as a self-motivated individual contributor
  • Demonstrates solid judgement in decision making that positively impacts reports, projects, and Bishop Fox
  • Detail-oriented and excels at prioritization and multi-tasking

Marketing Operations Manager

What You’ll Be Doing

  • Maintain and optimize marketing automation and CRM systems to streamline operations and improve customer data management.
  • Develop and monitor key performance indicators (KPIs) for marketing effectiveness and operational efficiency.
  • Collaborate with the inside sales team on outbound marketing strategies as well as track and analyze the impact of marketing efforts on revenue and B2B customer acquisition.
  • Expertise in assessing marketing processes and finding ways to improve efficiency or quality of work. 
  • Serve as the primary owner of HubSpot, responsible for maintaining and optimizing the platform to support Arcadia’s marketing operations and campaigns.
  • Manage data hygiene, list management and administration of Arcadia’s HubSpot marketing automation and collaborate with Arcadia’s Salesforce Administrator to improve data transfers across CRM technologies (includes Salesforce list management for marketing campaigns).
  • Create dashboards and reports in HubSpot to improve visibility and measurement of campaign effectiveness and insights.
  • Manage and optimize email marketing campaigns, focusing on performance metrics.
  • Conduct regular analysis of marketing campaign data to identify trends, measure ROI, and inform strategic decisions.
  • Identify digital marketing trends, new technologies, evolving best practices, competitor activity and testing opportunities that help drive the business forward.
  • Stay updated with the latest digital marketing trends, evolving best practices in marketing technology and data privacy, competitor activity and testing opportunities that help drive the business forward.

What You’ll Bring

  • BA/BS in marketing, communications, business management, or another related field.
  • 7+ years digital marketing experience, preferably in healthcare, B2B or regulated industry.
  • Achieved the HubSpot Marketing Software certification.
  • A strong understanding of email marketing, inbound marketing, account-based marketing, and marketing analytics.
  • Deep expertise with marketing automation and data analytic tools, such as HubSpot, Salesforce Marketing Cloud, Google Analytics, Google Ads, Google Data Studio, and 6sense.
  • Track record of translating qualitative data into recommendations and plans for lead generation and paid media campaigns to improve marketing effectiveness.
  • Strong project management skills, including production schedules, budgets, stakeholder coordination, and agency/vendor relations.
  • Knowledge of various project management technologies (e.g. Asana), preferably with hand on experience.
  • Creativity and innovative thinking, always looking for new ways to engage audiences.
  • Understanding of the marketing ecosystem and processes, and knowledge of the latest technologies in the marketing field.
  • Expertise in assessing marketing processes and finding ways to improve efficiency and quality of work.  
  • Strong collaboration and communication skills to work effectively across various teams, including marketing, communications, creative, and sales.
  • Problem-solving approach that values research and data analysis.

Software Engineer II (Storage Services)

What you’ll do

  • Implement, manage, and monitor databases in our Apache Iceberg-powered data lake environment to ensure high levels of data availability and performance.
  • Work with data engineering teams to design and implement scalable database schemas and optimize data storage and retrieval processes.
  • Perform regular database maintenance tasks such as backups, indexing, and performance tuning to ensure data integrity and efficiency.
  • Develop and implement data security measures, including access controls and encryption, to protect sensitive information.
  • Collaborate with data analysts and business teams to understand data requirements and ensure the database meets business needs.
  • Troubleshoot and resolve database-related issues in a timely manner.
  • Stay current with emerging technologies and advancements in Lakehouse architectures, specifically Apache Iceberg, to recommend and implement improvements to our data infrastructure.
  • Document database architectures, procedures, and processes for internal use and compliance purposes.

What we look for

  • Knowledge of SQL:
    • Proven experience as a Database Administrator, with a strong preference for experience in managing data lakes and using Apache Iceberg.
    • Deep understanding of database principles, architecture, and data modeling techniques.
  • Python:. 1-3 years of general python experience
  • Spark:
    • Extensive experience with writing Spark SQL and working with DataFrames
    • Experience with debugging Spark applications via metrics, history server, etc
    • Understanding of  shuffling and re-partitioning concepts
    • Understanding of off-heap and on-heap memory usage in Spark
    • nderstands joins in a distributed context; eg sort-merge vs broadcast joins (nice to have) 

Solutions Engineer – Implementation

Position Overview

Our Solutions Engineering Team is responsible for ensuring the success of our customers, acting as the subject-matter experts for our product and providing consulting expertise for the integration and operation of SingleStore. The Solutions Engineer in this role will be responsible for hands-on product implementations with new customers, ensuring a world-class customer experience. The successful individual will be able to carry on profound discussions with customers’ front-line technical experts, as well as have high-level, business talks with senior executives.

As an organization, we’ve hit an inflection point, making this an exciting time to be at SingleStore. Given the continued growth of our business, it’s critical that we implement scalable tools and best practices to effectively scale the organization. This position will play a key role in product implementations and will contribute to the processes that will help take the company to the next level.

Role and Responsibilities

  • Partner closely with customers to gain an understanding of both their technical and business requirements
  • Execute on design and deployment plans to successfully implement SingleStore into new customer environments
  • Follow best practices when deploying SingleStore, ensuring a consistent and positive customer experience
  • Help build and deploy the next generation of database management platform that automates tasks, provisioning/de-provisioning, analytics, and instrumentation across 1,000s of nodes
  • Evangelize best practices by educating customers and becoming their trusted advisor, providing an overall business solution

Required Skills and Experience

  • Deep experience and understanding of complex applications, distributed systems, and custom technology deployments in a variety of customer environments
  • Firm understanding of SQL, Linux, and scripting languages
  • Firm understanding of database administration, database architecture, and distributed systems
  • Experience working in the modern data infrastructure space: RDBMS (Oracle, SQL Server, Sybase, etc.), Middleware, Analytics, Data Warehouse, Business Intelligence, and/or “Big Data” technology
  • Strong customer-focus mindset, with a passion for delivering customer satisfaction
  • Ability to travel up to 70% of the time, including both U.S. and international travel
  • B.S. in Computer Science or a related field

Director of Architecture

Responsibilities

  • Establish a technical vision for best practices across infrastructure, platform, and architecture (IPA)
  • Promote self-service within engineering teams by providing consultation and tools to facilitate product team goals
  • Advocate for IPA initiatives and serve as a thought leader both within and outside of the organization
  • Champion Agile methodologies and modern practices across relevant areas such as: CI/CD, TDD, IaC, observability, data management & privacy, DR (HA), SecOps, and DDD
  • Maintain an IPA roadmap, setting and achieving goals to improve our ability to innovate
  • Provide technical guidance and coaching to teams regarding best practices and in support of technical design decisions
  • Promote secure practices in every technical design decision and engineering process
  • Develop and maintain a strategy for data architecture across the enterprise, in consultation with business and technical stakeholders throughout the organization
  • Ensure GCP cloud infrastructure is managed in a cost-efficient manner, prioritizing service reliability and efficiency
  • Assess and manage technical risks with focus on maintainability, reliability, and security
  • Contribute to the technical culture of the organization by promoting and participating in the tech blog, tech talks, and by mentoring engineers
  • Model innovation and experimentation, emphasizing a lean, iterative approach to solution design

Qualifications

  • 4+ years experience in a technical leadership position working closely with remote teams
  • Proven ability to drive technical initiatives forward using influence, persuasion, as well as  hands-on solution development
  • Ability to communicate and set expectations both within the team and with stakeholders across the business
  • Curiosity to learn new technologies and eagerness to face novel challenges on a regular basis
  • Familiarity with Freestar technologies or equivalents (GCP & related services as well as architectural patterns, Java, Javascript, Python, k8s)
  • A degree in computer science or related field is preferred

What you can expect in return:

  • Full-Time, Salaried Position
  • Fully remote company, with collaborative asynchronous teamwork. 
  • The opportunity to be part of something BIG

Document Control Specialist

Job Description:

Under general direction, this position will ensure accurate entry of information from Tissue Transplant Return Cards (TTR) and Data Registry Cards. Working with other departmental personnel, the document coordinator will maintain and file records, as well as maintain the file room. This position will prepare, process, and sustain storage of in-house and offsite records, as well as the support of the creation of electronic files of records. The Documentation Coordinator will interact with other departments, including Production, Tissue Service, Post-Market Quality Assurance, and Quality Control, to complete the process of reviewing, logging, and filing documents.

· Ensure accurate entry of the Tissue Transplant Return Card (TTR) and Data Registry Card data into the SAP system. This includes medical information. 70%

· May be required to enter, query and/or data fix/troubleshoot. 5%

· File and maintain records and documents. Organize paperwork and electronic records for filing; maintain an efficient file room and network system. 5%

· Produce digital copies (scans) of paper documents/records. Electronic copies documents/records need to be legible and organized on company network and/or other storage devices. 5%

· Follow retention process for offsite storage records. Prepare records for transportation to\from offsite facility by collecting vital record information, completing forms, packing boxes and creating an electronic record for future reference. 5%

· Thoroughly carry out all relevant training in compliance with procedures, standards, regulations, and other governed bodies. 5%

· Assist in internal & external audits. Maintain understanding of current regulations & guidelines related to document & change control, such as FDA Good Manufacturing Practices, FDA Good Tissue Practices, AATB Good Tissue Practices, state regulations,

ISO 9001, ISO 13485, ISO 14971 standards, local site policies/procedures, 93/42 EEC Medical Device Directive, and other applicable standards. 5%

Posting Specialist II

Under the direction of the Posting Manager, the Posting Specialist II performs general accounting functions, such as posting payments and reconciling bank deposits. This is completed while upholding the regulations set by the company’s standard and federal guidelines.

Essential Duties & Responsibilities

  • Pull deposits from bank lockbox/website.
  • Pull remits from various websites to post payments.
  • Scan all posting to each account’s folders on the network.
  • Run deposit reports to make sure daily deposits are balanced.
  • Make sure all posting is finished by end of month deadlines.
  • Post all payments and denials.
  • Make daily entries on each account’s monthly spreadsheets.
  • Must have knowledge of the accounts you are postings, especially schedules and payers.
  • Be aware of accounts that participate with insurances so that balances are adjusted off correctly.
  • Be able to access Easy Print to get Medicare remits.
  • Be able to access Gateway EDI for various insurance remits.
  • Respond to Billing Specialist inquiries related to posting.
  • Ability to work denials
  • Ability to print single 1500’ change schedules, change insurance companies in RescueNet

Requirements

Minimum Qualifications

Education

High school diploma or equivalent required

Associates/Bachelor’s Degree or equivalent outside work experience preferred

Experience

2-4 years of basic accounting principles and medical billing experience preferred but not required

Knowledge, Skills, Abilities 

Must be able to type minimum of 35 wpm

Microsoft Office and basic computer knowledge

Basic math

Attention to detail

Ability to read and understand Explanation of Benefits (EOB)

Customer service oriented

Time management and the ability to multitask are essential

Organizational skills

Must display sufficient written and oral communication skills

Must have the ability to work in a fast-paced environment

Executive Assistant

Executive Assistant

As an Executive Assistant at Burq, you will have the unique opportunity to work closely with our Executive Team (particularly the CEO) and make sure they are set up for success each day. You will be part of an emerging team that is building a product to power millions of businesses with their delivery needs.

Some of the responsibilities

  • You will help manage the exec calendars extensively, including organizing internal and external meetings across multiple time zones & locations.
  • You will be attending meetings, taking notes, following up on action items, and helping to create plans.
  • Strive to deeply understand the company’s priorities, and work with the executive team to ensure that their time is organized accordingly.
  • Be involved in special or other ad-hoc projects as required, as well as miscellaneous tasks.
  • Exercise absolute discretion at all times.

Requirements

  • 3+ years of related professional experience, preferably in tech companies.
  • An enthusiastic nature and eager to help wherever you can, and do whatever it takes to ensure progress while being friendly, collaborative and approachable.
  • An ability to seek information beyond what is plainly presented to you, with an aim to understanding the executive’s goals & actively finding ways to be helpful in executing these goals.
  • Excellent written and verbal communication skills.

Benefits

Investing in you 🙏

  • Competitive salary
  • Option to work fully remotely or in-person
  • Medical, dental and vision insurance
  • Reimbursement for educational courses

Generous Time Off 🏝

Associate Billing System Configuration Analyst

Job Responsibilities:

  • Serves as a source of knowledge for the designated revenue cycle functions.  
  • Facilitates and manages the full life cycle of the claim process.
  • Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function.
  • Works with IT to oversee system administration for database application, testing, user administration, security access and end-user training.
  • Responsible for billing software maintenance and installation of upgrades.
  • Responsible for developing appropriate workflows and tracking for the designated revenue cycle function.
  • Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
  • Works closely with various vendor operations teams (Prior authorization, Claims and Appeals) to oversee operations activity that directly impacts the revenue cycle to accurately process actions in a timely manner for optimal reimbursement.
  • Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
  • Leads weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities.
  • By continually reviewing and monitoring billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions.
  • Coordinates with Management to ensure thorough understanding of trends/issues affecting revenue cycle performance.
  • Develops goals and metrics to link department and revenue cycle initiatives with the organization’s strategy.
  • Develops, manages and monitors successful completion of implementation and project plans.
  • Acts as an educator on performance improvement requirements in operations and methodologies to related teams and departments.
  • Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall company success.

Qualifications: 

  • At least 3 years of experience in medical billing and Insurance collections
  • Strong proficiency in SQL, PowerBI and Excel
  • At least 3 years of experience with Prior Authorization requirements, payer utilization management policies and Appeals

Call Center Agent

Come Join Our Team

  • Base wage of $10-11/hour dependent on location. (Visit dynata.com/application for specific wage information per state)
  • Flexible part-time schedules within company operating hours
  • Work remote from the comfort of your home
  • We will train the right candidate
  • Positive attitude and willingness to learn.

Job Requirements

  • Must be 18 years or older
  • Ability to read and speak clearly
  • Ability to handle difficult calls in a professional manner
  • Must be available to work within the hours of 4PM-11PM CST Monday – Friday and 10AM-6PM CST Saturday –Sunday
  • Must be able to work 1 weekend shift (either a Saturday or Sunday) each week
  • Ability to listen and comprehend respondent answers and accurately and efficiently type answers into the Company’s survey software platform
  • Typing speed of 30 wpm while maintaining accuracy is preferred
  • Ability to sit and type for majority of shift
  • Ability to provide own equipment (laptop, headset, webcam etc.)
  • Have a dedicated, quiet working space that is free of distractions to conduct business

Equipment Requirement

Our system uses several different software technologies that are best accessed through a browser on a laptop or desktop computer. Below are the other technical requirements for this position:

  • Windows machine running Windows 10 OR Mac computer running a recent version of MAC OS
  • NO Chromebooks – these are not compatible with our systems
  • 8 GB of RAM
  • Quad Core Processor
  • Most recently updated version of Chrome browser
  • Ability to download software to the computer
  • A personal email address capable of receiving files
  • 10 Mbps download internet access speed
  • Direct plug-in wired access to the data connection
  • Direct plug-in access for power for computer or laptop
  • USB or WIRED headset with mic (No Bluetooth)
  • Working webcam
  • Smart phone capable of downloading apps and receiving incoming messages via data or Wi-Fi connection

Join the Dynata team today!

Inpatient Senior Coder – Remote

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

  • Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
  • Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
  • Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses (including DRG, MCC & CC, SOI/ROM) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.
  • Coder Productivity: Meets and/or exceeds Conifer’s inpatient coding productivity guidelines
  • Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
  • Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
  • DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders (physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. Provides operational performance reports to leadership as requested.

KNOWLEDGE, SKILLS, ABILITIES

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.

  • Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
  • Proficient at writing AHIMA compliant physician queries
  • Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
  • Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
  • Works collaboratively with CDI, Quality and other facility leadership
  • Functional knowledge of facility EMR, encoder, CDI tool and other support software

Event Support Specialist, (P/T)

ob Summary:

JOB DESCRIPTION – Event Support Specialist (PT)

Location: Remote – Las Vegas NV, Los Angeles CA, San Diego CA, Phoenix AZ, Seattle WA

Division: Ticketmaster US

Line Manager: Event Support Manager

Contract Terms: Part-time, 20 hours per week (including weekends and evenings)

THE TEAM

The Field Operations team builds and maintains relationships with various clients to understand the essentials of their business practice, ensure their business objectives are met and clients are able to utilize the various Ticketmaster products/platforms.

THE JOB

As part of the Event Management team, you will support Ticketmaster clients in all their event management needs.  This includes building events and making updates to events based on work requests from clients.

WHAT YOU WILL BE DOING

This position involves collecting, reviewing, and inputting accurate data into Ticketmaster Host system following procedural best practices and established standards, then verifying the output. The tool knowledge set for the position includes Host and Host applications, EventPro, EMT and TM1 suite products.

  • Meet and exceed Event Management service level agreements
  • Accurately input event data into Ticketmaster Host system and identify and resolve event related errors
  • Work with clients, promoters, and internal departments such as marketing, accounting, customer service, event operations and support and client support, when creating events and distributing information regarding those events
  • Establish and develop relationships with assigned clients
  • On-Call schedule rotation amongst the team; after hour, weekend and holiday client support responsibilities
  • From time to time, will be responsible for other duties as assigned by, but not limited to, Senior Event Specialist, the EM Manager, or the Regional Director of Event Management

WHAT YOU NEED TO KNOW (or TECHNICAL SKILLS/COMPETENCIES)

  • 1-3 years’ experience with the Ticketmaster System, or related field experience, with some exposure and knowledge of the Ticketmaster system
  • Service oriented, with strong organizational and communication skills
  • Able to successfully handle multiple priorities
  • Certain degree of creativity, latitude, and problem solving is required
  • Box Office experience a plus
  • Overall awareness of the entertainment business is important
  • Knowledge of how TM departments impact on one another, and on outside clients is a plus
  • Must have the ability to accommodate a flexible schedule including some Saturdays, evenings, and holidays
  • Excellent written and oral communication skills, good organizational skills, and attention to detail
  • Must be computer literate with excellent data entry skills
  • H. S. diploma or equivalent required. BA/BS degree is preferred

Development Operations

OB HIGHLIGHT

You will play an essential role in data integrity; ensuring all donor, donation, and donor reporting information is accurate and reportable so that we can further our mission of creating a world where everyone on the planet has access to clean and safe water.

JOB SUMMARY

Reporting to the Associate Director of Development Operations, the Associate will be responsible for all things data– from making sure our donor data is impeccable to managing our reporting data. You will play a critical role in delivering proof of impact back to each donor. You will be a part of the larger Development Operations team that aims to deliver best-in-class operations to support our fundraising goals.

YOU’LL BE RESPONSIBLE FOR…

●      Overseeing the donor database in our CRM (Salesforce), ensuring accurate and up-to-date records with regular contact and donation data cleaning and maintenance

●      Working closely with the Fundraising team to provide timely and accurate mailing lists and constituent reports requested to support fundraising needs

●      Updating and maintaining our proprietary reporting databases or files to ensure accurate and current information is available for use by others

●      Gathering and summarizing data from various sources to complete reports and special projects

●      Creating and monitoring data quality reports to ensure data standards are being met – identify, investigate, and resolve data gaps, and actively find opportunities for process improvements

●      Informing policies, procedures, and standards to maintain data quality

●      Providing additional support during high-season– donation coding and supporting tax receipt when necessary

YOU MUST HAVE…

●      Bachelor’s degree, preferably in operations, information systems, or other business-related field

●      1-2 years of data entry or management experience

●      Experience working with Salesforce or comparable CRM database

●      Proficient Excel skills

●      Outstanding written and oral communication skills

●      Ability to work independently in a remote environment

●      Highly-developed interpersonal skills

●      Project management experience is a plus

IT’S AN ADDED PLUS IF YOU HAVE…

●      Prior experience working in the nonprofit or fundraising sector

●      Advanced knowledge of databases, particularly Salesforce, and other data programs

●      Database cleaning experience

Leave Specialist

About the role

As a Leave Specialist, you will be the primary contact for employees of companies we service and will manage a leave of absence from start to finish. You will also play a critical role of supporting your peers and Sparrow team members.  

What your day to day will look like:

  • Drive success through initial customer kickoff and provide a supportive, personalized end-to-end leave of absence experience for customers using a combination of tools to manage, communicate and update all stages of a leave.
  • Act responsively, accurately, and with attention to detail in a considerate and timely manner with your assigned customers.
  • Actively participate in team meetings providing feedback, solutions and suggestions.
  • Communicate and participate externally with employees going on leave to discuss the leave of absence process and specific leave questions. 
  • Partner with our internal payroll teams to ensure employees are paid accurately and on time.
  • Interface and collaborate comfortably with a variety of key parties: individuals on leave, HR/payroll teams, state representatives, doctor’s offices, etc. through various methods of communication (phone call, email, video chat).

Attributes of a successful candidate who will excel at supporting our customers:

  • Strong communication skills that allow you to interact comfortably with internal cross-functional teams, and customers. 
  • You excel in active listening, empathy, and approachability. 
  • Be comfortable moving between multiple tasks in a quick succession.
  • Maintains internal systems and processes. 

In collaboration with the Sparrow team, build a better product:

  • Collect and share product feedback that you receive during customer interactions.
  • Evaluate our impact throughout the lifecycle of each leave.
  • Implement process improvements to resolve inefficiencies and address customer pain points. 
  • Provide and seek negative and positive specific feedback to your peers, supporting your team’s growth and development. 

Surplus Lines Tax Coordinator

About Specialty Program Group: Specialty Program Group (SPG) is the wholesale & MGA division of HUB International (7th Largest Global Broker).  SPG acts in a holding company capacity acquiring best in class underwriting businesses to operate independently under discrete brands (portfolio companies). 

Responsibilities

  • Processing surplus lines tax transactions for all states within the deadlines set by those state entities. This includes, but is not limited to, affidavit processing, forwarding of policy to appropriate state (if required), and logging of transactions, etc.
  • Assisting with filing tax reports on a monthly, quarterly, semi-annual, and annual basis; involves running of reports and verification of data to ensure accuracy of information making sure to meet all filing deadlines
  • Reconciling and correcting discrepancies between the tax report and tax documentation received, including working with production teams to resolve invoicing errors
  • Updating internal systems and reporting data bases with the status of the tax filing support on each transaction
  • Working at the direction of the Compliance Manager to complete surplus lines state audits or inquiries – verifying transactions, documents, and filings
  • Ensuring all compliance guidelines are properly followed on non-admitted transactions
  • Performing other related duties as assigned

Experience Requirement

  • Associate degree or equivalent combination of education and experience
  • 1-year professional work experience preferred
  • Knowledge of insurance industry, admitted vs. non-admitted markets, is preferred but not required
  • Microsoft Office proficiency with an emphasis in Excel
  • Strong math and analytical skills
  • Must have exceptional attention to detail
  • Ability to organize and prioritize workload to meet deadlines
  • Excellent communication and interpersonal skills
  • Ability to prioritize and execute tasks independently in a fast-paced environment

Disclosure required under applicable state or municipality regulations: The expected salary range for this position is $40,000-$45,000 and will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level. HUB International is proud to offer comprehensive benefit and total compensation packages which could include health/dental/vision/life/disability insurance, FSA, HSA and 401(k) accounts, paid-time-off benefits, and eligible bonuses, equity and commissions for some positions.

#Remote

#LI-ES1Department Business OperationsRequired Experience: 1-2 years of relevant experienceRequired Travel: No Travel RequiredRequired Education: Associate degree (2-year degree)

Chat Support Associate

Overview
Application
Join our growing team at Vetcove, and help us transform how veterinarians buy the supplies they need to keep America’s pets healthy. Vetcove’s eCommerce and mobile platforms enable veterinary practices to compare and buy from all of their vendors in one place. Our community of more than 17,000 veterinary hospitals employs tens of thousands of veterinarians, and delivers care to many millions of animals every year across all 50 states. We’re a growing team on a mission to modernize the $50B+ animal health industry. Simply put, Vetcove helps veterinary organizations spend more time giving care, and less time shopping and comparing across vendors to supply their practices. Vetcove is a Y Combinator and venture-backed growth stage company with notable investors in Silicon Valley and NYC. We’re looking for exceptionally talented and passionate people to join our growing team.

About the Position

The Support Associate is responsible for engaging with our vibrant community of veterinary professionals to support them in their critical purchasing decisions and processes through the use of the Vetcove platform.

Members of the support team work collaboratively to help provide our users an excellent experience on our platform through live chats, phone calls, emails, internal discussion boards, and platform demos This role plays a pivotal part in ensuring a positive and delightful day-to-day experience for every user leveraging the platform for their supply ordering needs.

The ideal candidate is a proactive self-starter who thrives in a fast-paced, team environment. This person will be excited by the challenge of supporting and growing a large community of thousands of passionate veterinary professionals through answering intercoms via our platform, troubleshooting, and working cross-functionally to help evolve our platform.

Experience in a relevant customer-facing role, as well as excellent written and verbal communication skills, are required. Knowledge of intercom and/or experience with other chat platforms is strongly preferred.

What you’ll do

Support existing Vetcove users by responding to user inquiries via live chat, email, and phone in a timely manner

Troubleshoot issues quickly and explain scenarios/solutions in an easily digestible and effective manner

Handle various daily and weekly admin responsibilities, such as proactive account management, item issue reports, item reviews, credit approvals, and more

Work cross-functionally to provide our engineering, partner, and corporate teams with information on feature requests and recommendations for enhancements to our tools

Work with vendor and industry partners to streamline communication and alerts between systems

Help to continuously develop and expand processes in order to streamline support workflows

You should have

1 year of relevant, customer facing work experience

2 Year Associates Degree or 4 Year College Degree

Excellent written and verbal communication skills

Experience in chat support preferred

Patience and compassion when handling difficult situations

Ability to adapt quickly and manage many concurrent responsibilities

A strong desire to learn and help our customers succeed

A positive attitude and one-for-all team mentality and excellent collaboration skills

Tech/start-up work experience is a plus but not required

Benefits
100% remote within the USA

Medical, Dental, and Vision Insurance

Automatic 401k contribution

Employee referral program

At home office set up

Bi-annual company retreats

Open vacation policy

Equity

Monthly team events

Please note we are unable to sponsor work visas at this time.

Attention all job seekers! We want to ensure that you’re well-informed about a serious matter affecting the job market. It has come to our attention that scammers are operating in the industry, impersonating employees and attempting to deceive savvy applicants like you. Here’s what you need to know:

Our job listings are exclusively available on official sites (our careers page, LinkedIn, BuiltIn, and Indeed). Be cautious of other sources claiming to represent us or any organization that you’re interested in. Stay on the lookout!

Authentic communications from our company will only come through verified email addresses and phone numbers. If you receive unexpected messages or calls, exercise caution and verify their authenticity. Don’t let scammers catch you off guard!

It’s essential to independently verify the legitimacy of any job postings you come across. Visit our official careers page to confirm the validity of any openings. Stay proactive and protect yourself!

Remember that during the application process, we will never request sensitive personal or financial information from you. Be wary of anyone asking for such information. Keep your personal data secure!

If you suspect any fraudulent activity or encounter suspicious individuals, please report it immediately to our recruiting department. By working together, we can combat these scams and keep the job market safer for everyone.

We understand the importance of your job search and want to ensure your experience is positive and secure. Always exercise caution and stay scam-smart!

Vetcove is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We welcome applicants from all backgrounds, regardless of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status. We are dedicated to providing a work environment free from discrimination, harassment, and retaliation. It is our policy to provide equal employment opportunity to all applicants in accordance with all applicable laws and regulations. If you require accommodations during the application or interview process, please let us know and we will make every effort to accommodate your needs.

Technical Assistance Program Consultant

About the Role:

As a Technical Assistance Program Consultant supporting our Federal government client, you will provide direct support to a nationwide grant program through program management and policy-development support, specifically focusing on translating technical policy language into digestible formats for clients of various degrees of expertise.

Key Responsibilities include (but are not limited to): 

  • Support the development and execution of Technical Assistance (TA) resources for program grantees (all 56 States, Territories, and D.C.) by understanding the digital equity grants program requirements.
  • Own and develop resources internally and externally (program stakeholders) to increase understanding of the types of digital inclusion work that can benefit communities such as people with disabilities, incarcerated individuals, and racial and ethnic minorities.
  • Create trainings (webinars, facilitation guides.), standard operating procedures (SOPs), workshop materials, one-pagers, handbooks, and fact sheets 
  • Improve upon existing (and new) processes and systems by understanding root causes, conceptualization, and client facilitation
  • Identify and assess gaps, raising risks based on policy and programmatic materials
  • Work cross-functionally with other workstreams to understand upcoming guidance through proactively aligning on deliverables and next steps
  • Manage up with the team lead through tracking movement of deliverables, flagging outstanding dependencies/questions, and aligning on purpose/vision of each resource 
  • Deliver updates and information to clients, staying informed on program activities
  • Complete Project Management Office (PMO) responsibilities by deadlines
  • Carry out our Commitments to Deliver, Grow, and Thrive

Location:

You will work as part of a dynamic team remotely. You will work at the client site dependent on contract requirements. DMV or Atlanta preferred, not required.

Required Experience/Skills: 

  • Bachelor’s Degree
  • 4+ years of professional experience 
  • 2+ years of experience developing trainings (webinars, facilitation guides.), SOPs, and workshop materials
  • Strong writing, presentation, and core consulting skills including meeting facilitation 
  • Strong  MS Office skills, including MS Word, Outlook, PowerPoint and Excel
  • Excellent written communications skills 
  • US citizenship and the ability to pass public trust clearance or suitability

Director of IT Business Applications

Overview

As the Director of IT Business Applications, you are responsible for overseeing all aspects of our business applications and IT infrastructure, ensuring they align with and support our business goals. You will be a key member of the leadership team, collaborating closely with various departments to identify opportunities for technology-driven improvements and drive digital transformation initiatives.

Starting base pay for this role is between $150,000 and $185,000. The actual base pay is dependent upon many factors, such as transferable skills, work experience, business needs, training, location, and market demands. The base pay range is subject to change and may be modified in the future. This role will be eligible for a bonus as well as competitive medical, dental, and vision benefits, wellness reimbursement, life insurance, and a 401(k) with company match. We offer vacation and sick leave benefits (under a flexible time off policy in most states). 

Responsibilities

  • Strategic Leadership:
  • Develops and implements a comprehensive IT strategy aligned with the company’s overall business objectives.
  • Identifies and prioritizes technology investments that drive innovation and growth.
  • Stays up to date on industry trends and best practices in IT and business application development.
  • Contributes to the development of the budget and monitors expenses.
  • Application Management:
    • Oversees the development, implementation, and maintenance of all business applications.
    • Ensures applications are secure, reliable, and meet the needs of the business.
    • Leads the selection and implementation of new technologies to improve application performance and functionality.
  • IT Infrastructure Management:
    • Oversees the design, implementation, and maintenance of the company’s IT infrastructure inclusive of hardware, software, and internal support.
    • Ensures the infrastructure is secure, reliable, and scalable.
    • Develops SOPs and SLAs for the internal support model.
    • Manages relationships with IT vendors and service providers.
  • Team Management:
    • Leads and motivates a team of IT professionals, including Business Analysts, System Administrators, and support staff.
    • Develops and mentors team members to ensure they have the skills and knowledge to succeed.
    • Fosters a collaborative and results-oriented work environment.
    • Completes team member performance evaluations and manages the performance review and compensation process for their team members.
    • Other duties as assigned.

Qualifications

  • 7+ years of experience in a leadership role within business application and/or IT management.
  • Minimum Bachelor’s Degree in Information Systems, Computer Science, Computer Engineering, or related field. MBA preferred.
  • Proven track record of success in developing and implementing IT strategies that align with business objectives.
  • Strong understanding of business processes and how technology can be used to improve them.
  • Experience in managing and leading Information systems or IT teams.
  • Excellent communication, collaboration, and problem-solving skills.
  • Experience with common business applications and technologies (e.g., ERP, CRM, cloud platforms).
  • Strong understanding of IT security principles and best practices.

Professional Services Solution Product Consultant

Job Title:Professional Services Solution Product Consultant

Role Overview:Professional Services Solution Product Consultant

Develop and implement Architecture designs and configuration management in support of information security initiatives. Support integration of SaaS & IaaS applications with McAfee Cloud, based on underlying business needs and supportability. Responsible for Installation, Administration and Maintenance of McAfee Endpoint and Cloud Security Solutions. Develop Security policies for evolving threats and provide expertise to implement and operationalize the policies based on the business needs. Perform Static and Dynamic code Analysis to identify and classify the malware behavior and implement rules to protect endpoints. Conduct hands-on knowledge transfer sessions providing technical mentoring and awareness on the product and its features.

Telecommuting permitted from anywhere in the U.S. May require 25% travel to unanticipated U.S. client locations (5 days at a time).

Requires a Masters degree in Computer Science, Computer Engineering, Electrical Engineering, Electronics Engineering, or related and 2 years of experience.

2 years must include experience with

(1) Writing script, regex, or code in common Programming languages, such as C, Matlab, or Python; (2) Relational, non-Relational databases and query languages like MSSQL or My SQL; (3) OSI Model, TCP/IP protocol suite (IP, ARP, ICMP, TCP, UDP, SMTP, FTP, TFTP); and (4) Computer Organization and concepts of Operating systems (UNIX, LINUX and Windows).

Base Pay Range: $147,500.00 – $273,500.00 per year. Actual base pay within this range will depend on varying circumstances, including the work location, individual qualifications, company budget and other operational business needs. Compensation may also include annual bonuses and long-term incentives, subject to various metrics and company policy.

Junior Revenue Platform Consultant (PST/MST)

A Typical Day Might Look Like:

  • Sales Technology Configuration and Customization: Tailor our sales technology stack, including Salesforce, to meet business needs, encompassing customizations such as object creation, field adjustments, and layout enhancements.
  • Integration Management: Oversee the seamless integration of third-party systems with our sales technology suite, optimizing their performance and functionality within our operations.
  • User Lifecycle Management: Streamline user management processes within our technology platforms, from onboarding to offboarding, ensuring smooth transitions and access management.
  • User Assistance and Training: Offer continuous support to technology users, addressing queries, resolving issues, and conducting training sessions to enhance their proficiency with the tools.
  • Data Integrity Management: Uphold data accuracy and consistency across our technology platforms, overseeing imports, eliminating duplicates, and maintaining clean records.
  • Process Streamlining and Automation: Drive efficiency through process automation initiatives, leveraging tools like Flow to streamline workflows and boost productivity.
  • Analytics and Reporting: Develop and maintain insightful reports and dashboards that offer valuable sales performance metrics and aid in data-driven decision-making processes.
  • Security and Compliance Oversight: Support and maintain robust security measures within our technology ecosystem, managing user permissions and staying up-to-date with compliance standards and updates.
  • Versatility: Seamlessly adjust to shifting business demands, fostering efficient and effective outcomes in dynamic work settings.
  • Continuous Improvement: Remain updated on industry trends and best practices, exploring new features and recommending optimizations to enhance our technology infrastructure’s effectiveness.

You’ll Be A Great Fit If You:

  • Reside in and are authorized to work in the PST/MST time zones in the United States.
  • Demonstrate a minimum of 2 years experience as a Salesforce Administrator at a SaaS company.
  • Have obtained Salesforce Administration Certification.
  • Understand of Salesforce architecture, data model, and security model.
  • Have excellent analytical and problem-solving skills.
  • Are able to work collaboratively in a team environment.
  • Effectively communicate and are able to translate business requirements into technical solutions.

Sr. Healthcare Coordination of Benefits (COB) Data Mining Analyst

ABOUT THE OPPORTUNITY:

Hiring Range: 59,500 – 65,000

The Sr. Healthcare Coordination of Benefits (COB) Data Mining Analyst is responsible for objectively and accurately completing conducting audit review and analysis on assigned client inventory, while maintaining high quality work output and successfully meeting productivity and recovery goals.  This position makes identifies trends and makes determinations based subject matter expertise and strong analytical while leveraging audit tools and resources available.  Communicates and supports the identification of additional data mining opportunities and participates in development of ideas as necessary. Able to contribute to resolution of more complex issues or client requirements and may supporting training and guidance to other Data Mining Analysts.

Key Responsibilities

  • Conducts COB investigations and associated claims reviews and determines if claims are appropriately paid in accordance with COB rules, commercial billing guidelines and contracts, CMS regulations, and applicable laws and policies.
  • Documents findings within audit tracking system and maintains thorough and objective documentation of findings.
  • Provides support to client business processes related to claim recovery.
  • Investigates, researches, and analyzes claims data, applying knowledge of medical or pharmacy policy to determine proper order of benefits with other payers, both Medicare and commercial.
  • Creates narrative rationale to correspond with audit determinations.
  • Meets and achieves assigned revenue goals and assigned metrics.
  • As needed, supports findings during the appeals process.
  • Serves as a senior claims payment resource; provides claims and reimbursement expertise, and guidance to the team.
  • Works collaboratively with the audit team to identify vulnerabilities and/or cases subject to potential abuse.
  • Monitors, tracks, and reports on all work conducted.
  • Consults with our clients, data analysts, other claims payment resources and contractors as necessary.
  • Maintains current in-depth knowledge of changes in technology, practice and regulatory issues that may affect our clients.
  • Proactively contributes to process improvement activities and sets positive example for group participation and takes ownership in improvement initiatives.
  • Actively contributes in quality assurance functions, development of member investigation guidelines and training.
  • Proactively identifies and recommends opportunities for cost savings and improving outcomes.
  • Serves as positive role model and example for other Analysts.
  • May support training and guidance to other Analysts.
  • Complies with company policies, processes, and procedures.
  • Successfully completes, retains, applies and adheres to content in required training as assigned that includes but not limited to information security, anti-harassment and other compliance and policy/procedures training applicable for position.
  • Demonstrates Performant core values in performance of job duties and all interactions.
  • Performs other duties as assigned

Knowledge, Skills and Abilities Needed

  • Coordination of benefits, medical claims processing, and reimbursement subject matter expertise.
  • Depth of knowledge of commercial insurance programs (including billing guidelines and contracts), CMS, regulations and applicable laws and policies.
  • Demonstrated ability to apply breadth and depth of applicable business and industry knowledge to developing approaches to customer data mining opportunities as well as continuous improvement initiatives.
  • Strong analytical skills.
  • Ability to be flexible and seizes the opportunity to cross train.
  • Ability to maintain high quality work while meeting deadlines, revenue goals, and performance metrics.
  • Excellent organizational, interpersonal and communication skills
  • Demonstrated ability to resolve complex problems.
  • Ability to serve as a positive role model to more junior staff members.
  • Demonstrated ability to train and support team members with less experience with positive interaction and results.
  • Must be able to independently use standard office computer technology (e.g. email telephone, copier, etc.) and have experience using a case management system/tools to review and document findings.
  • Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload, problem solve, work independently and with team members.
  • Acute sense of professionalism and confidentiality.
  • Typing skills and working knowledge of computer functions and applications such as MS office (Outlook, Word, Excel).
  • Intermediate to advanced level of proficiency with Microsoft Excel, Word, and Access.
  • Capability of working in a fast-paced environment, flexibility with assignments and the ability to adapt in a changing environment.

Required and Preferred Qualifications

  • Bachelor’s degree or an equivalent level of competence obtained through experience, education and/or training.
  • 8+ years of experience in the health care industry in eligibility or claims analyst type of function.
  • 5+ years of experience with clearing houses/claims processing systems (e.g. UNET, COSMOS, NDB, TOPS, FACETS, AMYSIS, MHS, etc.)
  • 5+ years working with large volumes of membership or eligibility data.
  • Previous COB claims recovery experience required
  • Experience with CMS shared data files and CAQH files preferred
  • Employment VISA Sponsorship is not available for this position

Certified Hospital Inpatient Medical Coder

Remote Hospital Inpatient Coder

This is a full-time, remote/work from home, hourly position on the UCHealth Inpatient Coding team. Potential opportunity for eligible out-of-state applicants. Flexible work schedule. All required hardware/software provided, including dual monitors, keyboard, mouse. Assigns ICD-10-CM and PCS codes using computer-assisted-coding tools, and applies appropriate coding classifications for assigned service lines. 

Job duties

  • Responsible for accurately assigning and sequencing ICD-10 CM and PCS codes and POA indicators, identifying query opportunities, and abstracting data based on medical record documentation for all acute care hospital patient types.
  • Appropriately applies official coding guidelines and relevant coding references to all inpatient coding scenarios.
  • Collaborates with CDI, Quality, and leadership to capture necessary quality measures.
  • Enhances coding knowledge and skills with continuing education.

Requirements

  • High School diploma or GED
  • Coding-related certification from AHIMA or AAPC
  • 1 year of Inpatient coding experience OR 3 years of Outpatient coding

Preferred

  • Certified Coding Specialist (CCS) highly desired
  • 3+ years of hospital inpatient coding experience highly desired
  • Level I Trauma coding experience
  • Epic experience
  • 3M encoder experience
  • Computer-assisted coding

The pay range for this position is: $24.11 – $36.17 / hour. Pay is dependent on applicant’s relevant experience.

Drug Rebate Data Entry Clerk – Remote US

As a Drug Rebate Data Entry Clerk at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

  • Support staff on daily Drug Rebate activities in scanning payment documentation, posting and reconcile payments timely and accurately in the system.
  • Manage deposit spreadsheets and coversheets for all payment sent by drug manufacturers.
  • Complete assignments and work products on schedule with quality results.
  • Communicate assignment status and escalate issues timely.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

What we’re looking for

  • PRIMS, Process Manager, SSRS Reports, Remote Desktop Connection experience
  • Accounting or Finance experience
  • 10-Key proficiency
  • Strong knowledge of Microsoft Office (Word, Excel, SharePoint, TEAMS, Outlook)
  • Accuracy, efficiency, and attention to detail

What you should expect in this role

This position is remote work.

Inpatient Senior Coder – Remote

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

  • Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
  • Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
  • Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses (including DRG, MCC & CC, SOI/ROM) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.
  • Coder Productivity: Meets and/or exceeds Conifer’s inpatient coding productivity guidelines
  • Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
  • Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
  • DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders (physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. Provides operational performance reports to leadership as requested.

KNOWLEDGE, SKILLS, ABILITIES

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.

  • Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
  • Proficient at writing AHIMA compliant physician queries
  • Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
  • Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
  • Works collaboratively with CDI, Quality and other facility leadership
  • Functional knowledge of facility EMR, encoder, CDI tool and other support software

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

  • One to three years experience performing inpatient coding in acute care setting required
  • High school graduate or equivalent is required
  • Associate or Bachelor’s Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements.

Accounts Payable Specialist


What You Will Do
:

  • Process accounts payable invoices and data entry within system.
  • Development and maintenance of Excel spreadsheets.
  • Assisting with audit support and inquiries as necessary.
  • Assisting with supporting the monthly unclaimed property process
  • Execute required accounting controls around accounts payable process, and provide status, as appropriate.
  • Communicate accounts payable issues effectively and professionally with Accounts Payable Manager.
  • Working with account receivable, billing and others to resolve account issues when necessary. 
  • Assist in ad hoc projects as assigned.


What You Will Need:

  • Bachelor’s degree from an accredited university plus 2+ years of professional experience OR 6+ years of professional experience in lieu of degree.
  • Proficient in reading, writing and speaking English
  • Must be detailed oriented and have strong verbal and written skills
  • Ability to work independently or in a team environment
  • Ability to work overtime as needed
  • Demonstrated proficiency in Word and Excel


What Would Be Nice To Have:

  • Experience with Costpoint Accounts Payable module modules preferred

The annual salary range for this position is $57,000.00-$85,400.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

Event Support Specialist, (P/T)

Summary:

JOB DESCRIPTION – Event Support Specialist (PT)

Location: Remote – Las Vegas NV, Los Angeles CA, San Diego CA, Phoenix AZ, Seattle WA

Division: Ticketmaster US

Line Manager: Event Support Manager

Contract Terms: Part-time, 20 hours per week (including weekends and evenings)

THE TEAM

The Field Operations team builds and maintains relationships with various clients to understand the essentials of their business practice, ensure their business objectives are met and clients are able to utilize the various Ticketmaster products/platforms.

THE JOB

As part of the Event Management team, you will support Ticketmaster clients in all their event management needs.  This includes building events and making updates to events based on work requests from clients.

WHAT YOU WILL BE DOING

This position involves collecting, reviewing, and inputting accurate data into Ticketmaster Host system following procedural best practices and established standards, then verifying the output. The tool knowledge set for the position includes Host and Host applications, EventPro, EMT and TM1 suite products.

  • Meet and exceed Event Management service level agreements
  • Accurately input event data into Ticketmaster Host system and identify and resolve event related errors
  • Work with clients, promoters, and internal departments such as marketing, accounting, customer service, event operations and support and client support, when creating events and distributing information regarding those events
  • Establish and develop relationships with assigned clients
  • On-Call schedule rotation amongst the team; after hour, weekend and holiday client support responsibilities
  • From time to time, will be responsible for other duties as assigned by, but not limited to, Senior Event Specialist, the EM Manager, or the Regional Director of Event Management

WHAT YOU NEED TO KNOW (or TECHNICAL SKILLS/COMPETENCIES)

  • 1-3 years’ experience with the Ticketmaster System, or related field experience, with some exposure and knowledge of the Ticketmaster system
  • Service oriented, with strong organizational and communication skills
  • Able to successfully handle multiple priorities
  • Certain degree of creativity, latitude, and problem solving is required
  • Box Office experience a plus
  • Overall awareness of the entertainment business is important
  • Knowledge of how TM departments impact on one another, and on outside clients is a plus
  • Must have the ability to accommodate a flexible schedule including some Saturdays, evenings, and holidays
  • Excellent written and oral communication skills, good organizational skills, and attention to detail
  • Must be computer literate with excellent data entry skills
  • H. S. diploma or equivalent required. BA/BS degree is preferred

Quality Operations Associate

Our mission: to eliminate every barrier to mental health.

Spring Health is a comprehensive mental health solution for employers and health plans. Unlike any other solution, we use clinically validated technology called Precision Mental Healthcare to pinpoint and deliver exactly what will work for each person — whether that’s meditation, coaching, therapy, medication, and beyond.

Today, Spring Health equips over 800 companies, from start-ups to multinational Fortune 500 corporations, as a leading and preferred mental health service. Companies like J.P. Morgan Chase & Co., Microsoft, J.B. Hunt, Bumble, and Instacart use the Spring Health platform to provide mental health services to thousands of their team members globally. We have raised over $370 million from prominent investors including Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership, our current valuation has reached $2.5 billion.

We are seeking the first Quality Associate to join our Provider Operations team. Reporting directly to the Provider Success Lead, you will be responsible for conducting regular performance reviews and ensuring adherence to Provider Operations’ quality standards. To be successful in this role you’ll need to ensure that provider support interactions consistently offer providers best-in-class experience with Spring Health.

What you’ll be doing

Performing daily quality assurance reviews on support interactions using a scorecard and ensuring compliance with documented procedures.
Identifying and addressing gray areas within our documentation, and reporting workflows and procedures that require additional formal documentation.
Through monitoring support trends, propose improvements to provider training and support practices to decrease support needs.
Conducting coaching write-ups and coaching zoom sessions to provide feedback and support to teammates, promoting improvement in their interactions.
Utilizing trend charts to track and document common mistakes made individually and as a team, and leveraging this information to create weekly training content for the team.
Assisting in the creation of company procedures, policies, and processes to enhance quality standards.
Documenting quality assurance activities and generating audit reports to provide insights and identify areas for improvement.
What we expect from you

2+ years of relevant experience in quality assurance or a similar field.
Meets or exceeds quality and productivity standards in your current role.
Experience performing service recovery outreach to members.
Ability to support live interactions per business needs.
Excellent written and verbal communication skills.
Ability to provide training to entry level coordinators, promoting understanding and adherence to operational standards.
Strong analysis and data collection skills.
Ability to thrive in a multidisciplinary, fast-paced environment.

The target range for this position is $32.05-$39.62, and is part of a competitive total rewards package including stock options, benefits, and incentive pay for eligible roles. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually at minimum to ensure competitive and fair pay.

Don’t meet every requirement? Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At Spring Health we are dedicated to building a diverse, inclusive and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we strongly encourage you to apply. You may be just the right candidate for this or other roles!

Ready to do the most impactful work of your life? Learn more about our values, how we work, and how hypergrowth meets impact at Spring Health: Our Values

Hypergrowth meets impact
What to expect working here:

You will be held accountable to an exceptionally high bar and impact
This may be the fastest work environment you will ever experience in terms of growth, decision-making, and time to impact
You will be empowered to set your own boundaries and asked to adapt them in critical moments when the company needs you
You will create processes & products that have never existed before
You will have very direct conversations and receive continuous feedback to push you to become the most thriving team member and performer you can be
Change is a constant here: your role, team, responsibilities, and success metrics will shift as the company grows
And…

You get to be surrounded by some of the brightest minds in the field
You get to learn and grow at an extremely accelerated pace
You will experience transparency, integrity, & humility from leadership
You will be empowered to constantly challenge the status quo
You get the space to experiment & innovate
You get to make a transformational impact for the company, mental health, and for real human lives — and you will see that impact quickly
You will become more resourceful and resilient
You get to be part of a winning team that opens doors in the future
Benefits provided by Spring Health:
Your Total Health:

Health, Dental, Vision benefits start on your first day at Spring Health. You and your dependents also receive an individual One Medical account which is valued at $199/year per user. HSA and FSA plans available
Numerous yearly no-cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
10 allocated sick days per year
Flexible paid time off in addition to 12 paid holidays throughout the year
Access to Gympass, an on-demand virtual benefit that provides wellbeing coaching, and budget management.
Sabbatical Leave: When you’re a Team Member at Spring Health and hit your four-year Springaversary, you’ll be awarded a four week, fully paid, sabbatical leave.
You And Your family:

4-4.5 months of fully paid parental leave
Spring Health provides team members and their families with sponsored access to Bright Horizons® child care, back-up care, and elder care.
Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses
Supporting you financially through:

Our People team benchmarks all salaries using the Radford Global Compensation Database for technology and life sciences industries. Radford benchmarks salaries with 3,589 global firms, 6.5 million employees, and 98 countries across the globe. We do this to ensure all of our team members are paid equally and competitively.
On top of competitive and benchmarked salary, Spring Health offers incentive pay (based on role), and equity that begins vesting as we celebrate your first year with the company!
Employer sponsored 401(k) match of up to 2% after 90 days of employment
Creating a culture you can thrive in:

Flexible work arrangements: 66% of Spring Health team members work fully remote while 33% work in a hybrid model from our New York City offices
Focus Fridays: no meetings, no distractions, just time for you to get work done.
Focus Weeks: In Spring 2023, we held our first ever Focus Week, we canceled all non-essential meetings, minimized distractions, and you, our team members, to dive into the key work that gets chopped up or deprioritized during the regular day-to-day. We saw a 36% jump in the average energized score after those five days of flow state work and are finalizing a plan for quarterly Focus Weeks for team members.
Up to $1,000 Professional Development Reimbursement per calendar year.
$200 per year donation matching to support your favorite causes

Data Quality/Support Coordinator, Baseball Data -(Seasonal)

The vision of the Baseball Data Platform team is to capture the story of baseball through its data. As a Seasonal Data Quality/Support Coordinator at MLB, you will fulfill that vision with play-by-play and Statcast tracking data by supporting our customers, tracking and improving data quality, and guiding incident response processes across technology platforms. You will partner closely with world-class software engineers, data scientists, and subject matter experts with the sports’ richest and most robust data at your fingertips.

This is a seasonal (March to October) individual contributor role, reporting to the Senior Manager, Baseball Data Quality. The position requires part-time hours (maximum 20 hours per week) compensated hourly with an emphasis on nights and weekends, and is expected to be fully remote.

Responsibilities

Night and/or weekend shift rotations to support MLB Club questions/needs and internal baseball technology incident response.

Investigate potential data quality issues both proactively and responsively

Respond directly to inquiries from MLB clubs, broadcasters, and MLB leadership

Proactively monitor Major League, Minor League games, dashboards, and internal channels for reported data and technology issues

Query the database to solve problems and answer questions as needed.

Collaborate with the Statcast engineering, product, data science, and content teams to produce the next generation of storytelling metrics

Skills & Knowledge

Experience communicating professionally in a customer support role with technical and non-technical users

1+ years of experience with data and/or technology related to baseball

Critical thinking skills and the ability to apply learnings to unique situations

Flexibility to work scheduled night, weekend, and holiday support shifts, especially during baseball season

Experience with SQL or similar database querying experience preferred

Experience using R and/or Python for data analysis

Some knowledge of cutting-edge tracking technology, including optical and radar systems is preferred

A love of baseball!

Per the NYC pay transparency law, the hiring range for this position is an hourly rate of $27.00 to $30.00 The actual offer will carefully consider a wide range of factors, including your work experience, education, skills and any other factors Major League Baseball (MLB) considers relevant to the hiring decision.

Cancer Registrar II, Remote

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-time

Shift : Days

Location: AdventHealth Hinsdale

The role you’ll contribute:

Maintains and analyzes cancer incidence data.

The value you’ll bring to the team:

· Identifies and analyzes the history, diagnosis, treatment, disease status and survival data of cancer patients treated in the organization.

· Prepares and electronically submits required reporting information to the state cancer database.

· Collects data for patient care evaluations, protocol studies and conducting audits.

· Complies with all reporting requests and requirements.

· Abstracts accurately all required cancer related information into the electronic tumor registry system.

· Coordinates and maintains the long-term follow up process of data collection and input for all tumor registry patients.

Qualifications

The expertise and experiences you’ll need to succeed:

· Three or more years of Cancer Registry Experience

· Three or more years of abstracting experience

· National Cancer Registrars Association (NCRA) – Oncology Data Specialist (ODS) certification

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Marketing Analyst, Intermediate

Job Description:

Datasite is currently seeking an Analyst to join our Marketing Analytics team.  The Analyst will be responsible to deliver actionable insights from multi-channel data sources and campaigns.  This role is for someone that likes to dive deep into data and provide insights and recommendations. 

Duties and Responsibilities

  • Conduct data analysis to identify trends, patterns and insights that inform strategic decision-making.
  • Create monthly/quarterly marketing performance analytics with the focus on regional insights.  Use data to deliver actionable insights and recommendations to business leaders.
  • Effectively collaborate across Marketing and the organization to establish requirements and build knowledge.
  • Design reporting/analysis with focus on B2B metrics including: Marketing Qualified Lead, Sales Accepted Lead, Sales Qualified Lead, Opportunities, Marketing Influenced Win, Conversion Rates, and Velocity Rates.
  • Translate business questions into data analytics problems; quickly transform real-world data to actionable information using sound data analytics techniques.
  • Visualize and structure data for concise, clear delivery of relevant insights.  Ability to tell story with the data to technical and non-technical audiences.
  • Develop a deep understand of our marketing data.

Qualifications

  • 5-7 years of professional experience analyzing data, and providing insights
  • 5+ years building reports, dashboard, and insights   
  • 5+ years of experience analyzing B2B data
  • Experience with Salesforce Reporting
  • Dashboard / reporting building experience (in Salesforce and visualization tools)
  • Strong technical expertise to efficiently and accurately gather data
  • Ability to effectively collaborate across various roles and functions

Education

  • BA or BS required; MBA preferred

Preferred Experience

  • Experience with Marketing Intelligence / Datorama
  • Experience with Einstein Analytics
  • Experience with Campaign management 

As a global organization, Datasite knows that diverse perspectives are essential to our success. We’re committed to maintaining a diverse workforce to serve our customers around the world. Datasite is an equal opportunity employer (EEO) and furthers the principles of EEO through Affirmative Action.

Business Analyst – Pharmacy Benefit Management

Summary

As a Business Analyst – Pharmacy Benefit Management at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. You will coordinate testing for the Pharmacy Benefit Management System (PBMS), Colorado interchange and relevant subsystems related to the PBMS implementation.  Also, serves as the liaison between the Department, Gainwell staff, and other contractor staff to translate new or revised processes, and coordinates with other sections in the Department to implement the Pharmacy Benefit Management System (PBMS). Here are the details on this position.

Your role in our mission

Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.

  • Identifies, initiates and assures the quality of system functionality and change/enhancement projects in Interchange related to the Pharmacy Benefit Management System (PBMS) implementation, including as applicable all claims and capitation related system changes, pricing, benefit plans, reference codes, and interface file exchanges.  
  • Drafting configuration change management (CCM) documents and reviewing test cases on a large scale related to the PBMS implementation. 
  • Coordinates with pharmacy staff related to designing or enhancing systems, diagnosing system issues, analyzing test results, and coordinating system procedures in the Interchange related to the PMBS implementation
  • Draft system requirements for new and revised processes to integrate the new PBMS and programs into the Interchange and collaborate with other system analysts and vendors in the development, validation process and review of technical specifications.  
  • Review test plans, technical specifications, test results and provide system documentation for new and revised processes. 
  • Assures Interchange changes align with the PBMS implementation and maintains a system of checks and balances to assure that data is consistent, complete and accurate
  • Researches testing topics and validates that test results meet the identified functional requirements.  
  • Coordinates with program staff and system staff to review test results to ensure that the Interchange functions as intended.  
  • Analyze test results for defect findings and define the remediation process for the test environment while working within Gainwell to ensure that the defects are corrected, fully retested and approved for production
  • Provide status report on testing to relevant staff and vendors. 

What we’re looking for

  • Three or more years of Business Analyst Experience, with 1 or more years of Medicaid preferred.
  • Prior Pharmacy Benefit Management System (PBMS) experience preferred.
  • Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis. SQL experience is a plus
  • Ability to create and document test scenarios according to the business requirements. Providing support with end user testing as needed. 
  • Strong analytical and business process re-engineering skill
  • Strong written and oral communication and presentation skills to work with providers and managed care organizations related to claim submission in the Interchange and PBMS. 

What you should expect in this role

  • Fully remote options from most US locations and territories
  • This position supports the state of Colorado, working hours will correspond to mountain time zone.
  • Video cameras must be used during all interviews, as well as during the initial week of orientation

#LI-HC1

#LI-Pharmacy Benefit Management

#LI-Microsoft Office suite

The pay range for this position is $55,600.00 – $79,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.Apply Now 

Accounts Payable & Receivable Coordinator

Win Brands Group has recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. 

Win will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments or access to any financial accounts; and/or conduct text-only interviews.  

If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission. If you have questions about the authenticity of any communication sent purportedly by or on behalf of Win, we encourage you to contact us here.

About the Opportunity

We are looking for a skilled Accounts Payable & Receivable Coordinator that is responsible for processing all invoices received for payment and for undertaking the payment of all creditors in an accurate, efficient, and timely manner. Additionally, the Accounts Payable & Receivable Coordinator will ensure the accuracy and efficiency of operations, processing and monitoring incoming payments, and securing revenue by verifying and posting receipts. This role will report to our Accounting Manager and can be based anywhere in the US.

What You’ll Do

  • Process outgoing and incoming payments in compliance with financial policies and procedures
  • Perform day to day financial transactions, including verifying, classifying, computing, posting, and recording accounts payable and receivables’ data
  • Prepare bills, invoices, and bank deposits
  • Reconcile the accounts receivable and accounts payable ledgers to ensure that all payments are accounted for and properly posted. Actively following up on aged receivables and inquiring about collection
  • Facilitate payment of invoices due by sending bill reminders and contacting clients
  • Generate financial statements and reports detailing accounts payable and receivable status
  • Verify and investigate discrepancies, if any, by reconciling vendor accounts and monthly vendor statements
  • Resolve any clients’ billing issues, once a discrepancy has been verified
  • Own the AR collections process
  • Understand expense accounts and cost centers
  • Understands compliance issues around accounts payable processes (W-9, sales tax, etc.)

What You’ll Bring

  • Solid understanding of basic bookkeeping, accounting principles, fair credit practices, and collection regulations
  • Proven ability to calculate, post, and manage accounting figures and financial records
  • Data entry skills along with a knack for numbers
  • Hands-on experience in operating spreadsheets and accounting software 
  • Experience with third party payment processors
  • Proficiency in English and in MS Office
  • Customer service orientation and negotiation skills
  • A high degree of accuracy and attention to detail
  • 2+ years of relevant experience 
  • Experience using QuickBooks and Netsuite is preferred
  • BS degree in Finance, Accounting or Business Administration is preferred, but not required

Remote Patient Billing Representative

Responsibilities

In this Job you will:

  • Researches, resolves, and documents patient inbound and outbound calls involving a wide range of issues utilizing multiple information systems. This includes communications with internal business centers and external customers. Assures customer agreement by summarizing and closing each call appropriately.
  • Investigates payment status and determines ultimate patient financial responsibility.
  • Collect outstanding balance, offer patient assistance with financial responsibility through various financial options.
  • Maintains patient confidentiality and data integrity in accordance with Health Information Portability Accountability Act (HIPAA), and company policies and procedures.
  • Exercises good judgment, interpret data, and remains knowledgeable in details of all related CareCentrix contracts, policies and procedures. Participates in process improvement initiatives; maintains teamwork, customer service production and quality standards to assure timely, efficient and accurate call resolution.
  • Minimize patient dissatisfaction with active listening, maintaining a professional tone, and acknowledging their concerns.

This job is for you if:

  • You are passionate about health care and believe that one of the best ways to do that is by helping improve the quality and access to care in the home.
  • You enjoy working in a fast-paced environment
  • You are accurate with strong attention to detail
  • You have the ability to communicate professionally
  • You are fun to work with!  We take our commitment to patients seriously, but we don’t take ourselves seriously.  We are looking for team members who bring joy to the work they do.

Qualifications

You should get in touch if you have:

  • High School Diploma or GED.
  • Minimum 1 year work experience in a call center environment (billing experience preferred)
  • Good computer skills
  • Great communication and problem solving skills – Embracing the values of accountability, consistency and engagement through excellent attendance
  • Excellent customer service through the ability to care for others – Flexibility, adaptability and motivation learn

What we offer:

  • Starting Pay for external hires is $17.50 / hour + Incentive Bonus Opportunity.  The pay range included in this posting reflects future growth / earning potential.
  • Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
  • Profit Sharing, generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
  • Advancement opportunities, professional skills training, and tuition Reimbursement
  • Great culture with a sense of community.

Remote Revenue Cycle A/R Representative

Are you interested in remote work with a flexible schedule? The Virtual Business Office supports some of the largest hospitals in the country and is known as an award-winning extended business office. We are looking for talented and highly motivated revenue cycle professionals to join our A/R Follow-up and Denials Management team.

Why Join Us?

  • Our team is fully remote with no plans to return to office and hiring across the southeast in NC, SC, GA, FL, AL, TX, KY, VA, and TN.
  • You’ll support one of the largest professional services firms in the world, with access to cutting edge automation and AI technologies to enhance your workday experience
  • A flexible schedule that allows you to enjoy a work-life balance. With core business hours from 9:00am-3:00pm EST, you have flexibility with clocking in and out, along with the ability to work half-days on Friday’s
  • We hire you directly and offer a comprehensive employee benefits package to include major health coverage, 401k, PTO accrual, and more!
  • Endless growth opportunities and continuous professional development
  • Opportunity to participate in our “VIP” bonus structure for outstanding performance and “Real time Recognition” incentives

What you’ll do

  • Utilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types, including but not limited to: hospital and/or professional claims, governmental and/or non-governmental claims, denial claims, high priority accounts, high dollar accounts, reimbursements, credits, etc
  • Communicate professionally (in all forms) with payer resources to include: websites/payer portals, e-mail, telephone, customer service departments, etc
  • Seek resolution to problematic accounts and payment discrepancies
  • Prepare appeal letters for technical denials by accessing specific payer appeal forms, submitting appropriate medical documentation, and tracking appeal resolution
  • Identify denials trends, root cause, and A/R impact
  • Maintain professional communication with clients and team members through various channels
  • Consistently meet or exceed department standards and guidelines
  • Adhere to the HIPAA privacy and security regulations

What you’ll need

  • GED or High School Diploma
  • 3+ years of experience in Medical Collections, back-end A/R, and claim review in which denial follow up was worked
  • Experience in Hospital, Professional/Physician, and /or Third-Party billing and accounts receivable
  • Epic, or relevant EMR system experience

Bill Review Analyst

Bill Review Analyst, you would be responsible for identifying unbundled charges and billing errors through pre-screening of claims. Your findings will be used by our negotiation team to help them achieve better results during the negotiation process. You will also carry out in-depth reviews based on accepted billing practices and coding rules. 

To achieve the best results, you will need to maintain excellent communication with both internal teams and management. Your efforts will result in significant savings for our clients. 

Are you looking for a new challenge and the chance to develop your skills? Apply now and don’t miss out on this exciting opportunity!

DUTIES AND RESPONSIBILITIES: 

  • Identifies correct billing and savings on claims by running the codes through the system programs.
  • Performs research on fee schedule states in the auditing process.
  • Maintains a functional understanding of Workers’ Compensation state fee schedules, billing and coding rules and state specific provider payment regulations.
  • Works collaboratively with the Negotiations team to resolve claim issues and obtain additional discount.
  • Assists the Negotiation team with provider communication, obtaining a corrected claim or letter of agreement, based on audit findings and financial benchmarks.
  • Communicates all findings to the Negotiation team by providing a Bill Analysis report/email.
  • Communicates with the negotiation team, to query or to resolve billing discrepancies.
  • Maintains a consistent department bill review prescreen turnaround time. Standard TAT for Bill Analyst prescreen 24-48 hours from UB/IB receipt.
  • Complies with/supports HIPAA standards.
  • Identifies system/process issues and seeks interdepartmental resolutions.
  • Understanding of medical terminology and guidelines for medical services, charges, etc.; ability to read and understand medical bills and records.
  • Ability to collect and organize data, identify and define issues, organize and communicate facts using concise business writing.
  • Ability to make prompt, intelligent decisions based upon detailed analysis of issues including accurate and valid conclusions.
  • Ability to handle a variety of instructions and priorities.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.



POSITION REQUIREMENTS:

  • Great Attention to Detail is a must.
  • Excellent Organization Skills.
  • Must be able to work independently.
  • Excellent communication skills, both verbal and written.
  • Dependability
  • 1-3 years of auditing, claims, review and/or billing experience with a healthcare organization required.  Workers’ Compensation experience preferred.
  • Bill and concurrent review experience.
  • DRG Validation experience.
  • Line Charge Verification experience.
  • CPC and CIC certifications preferred.
  • Working knowledge of industry coding, ICD-10, CPT, HCPCS Revenue codes etc.
  • Has experience with Microsoft Office applications.
  • Working knowledge of Health Insurance, Medicare guidelines and various healthcare programs
  • Knowledge of CMS guidelines.

Benefits:

  • Medical, Rx, and Wellness Benefits
  • Dental and Vision Plan Options
  • Short-term Disability
  • 401(k) Retirement Plan
  • Holiday Pay

Compensation / Pay Rate (Up to): $60,000.00 – $65,000.00 Per Year

SNF A/R Collections Specialist

Become an Assembler! We are looking for an Accounts Receivable Collections Specialist to join our SNF RCM Services team. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further!  We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

This is a full time, non-exempt position reporting to the Director of SNF Financial Services.

What you’ll do

  • Act as the primary source for managing SNF delinquent accounts.
  • Work with multiple SNF clients to investigate outstanding A/R, determine the cause, and communicate with various payers to resolve outstanding balances.
  • Submit/resubmit claims and complete follow up calls on claims in a timely manner.
  • Review all documentation the client provides and identify any discrepancies.
  • Create individual client reports using Excel that will be shared with the client monthly
  • May assist billing team with current billing clients as necessary, including monitoring postings and working with commercial insurance, Medicare, Medicaid, HMOs, and clients to collect all balances
  • Achieve performance goals or objectives (individual or departmental) as established by the Manager
  • Other tasks as needed.

What we’re looking for

  • 3-4years of proven experience as an A/R Collections Specialist in the long-term care space is essential
  • Managing critical deadlines and keen attention to detail
  • Knowledge of Medicare parts A and B and Managed Care
  • Prior experience working in SNF A/R collections or a managed care/healthcare background
  • Knowledge of state and federal nursing home guidelines
  • Experience creating detailed reports in Excel
  • Must be resourceful and persistent and possess excellent problem resolution skills
  • Strong written and verbal communication skills with customer service focused aptitude
  • Strong ability to multi-task and a team player focused mentality that is highly self-motivated
  • Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family
  • Adaptable to change and willingness to learn different processes—we are Assemblers, after all!
  • Ability to function well in a fast-paced and at times stressful environment.
  • Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

Why join the team?

  • Be part of something special! We are growing both organically and through acquisitions.
  • Career growth – your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
  • Ongoing training and development programs
  • An environment that values transparency
  • Virtual and in-person events to connect with your team.
  • Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office

Payment Poster

Become an Assembler! We are looking for a Payment Poster to join our Physician RCM division. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further!  We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

This is a full-time, non-exempt position reporting to the Client Director.

What you’ll do

  • Download and post electronic payments.
  • Post insurance payments.
  • Post patient payments.
  • Balance payments.
  • Enter payments in client monthly spreadsheet.
  • Close folders.
  • Work denials as received.
  • Work aged claims as requested by managers.
  • Attend department meetings and other general staff meetings.
  • Other tasks and projects as needed.

What we’re looking for

  • Basic knowledge of billing and insurance practices and procedures.
  • Utilization of a computer with MicroMD Software is required.
  • Strong communication skills and excellent customer service skills are required.
  • The ability to work independently as well as in a team environment is necessary.
  • Ability to function well in a fast-paced and at times stressful environment.
  • Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

Why join the team?

Clinical Data Specialist: Oncology (ODS-C)

Description: 

We’re super into the work we do and the community we’ve built and think you might be, too!

Why? Well, there’s a lot to be proud of! Q-Centrix is a leading healthcare information solutions provider. Our oncology program is the market leader in clinical data management, powered by a tight-knit team of data geniuses, problem solvers, tech enthusiasts, and brilliant quality experts. Our collaborative crew of CTRs leverages their unique expertise and insight2oncology®, part of our comprehensive clinical data management platform, to help the nation’s top hospitals and healthcare systems unlock the value and purpose of clinical data advancing cancer outcomes and care across the country.

If you subscribe to our philosophy that Better Data Saves Lives™, we hope you’ll join our talented and growing team of cancer registry pros in pursuit of improved patient care. In doing so, you’ll join a team that has earned Best Place to Work distinctions, many accreditations, and the trust of top cancer programs across the country.

To be honest, we’re confident that this is an exceptional opportunity to fill your days with meaningful work while also becoming a part of a smart, collaborative, fun-loving team in a growing company and industry. So, read on and reach out if you’re ready to seize this opportunity to fill your days with meaningful work and become a part of a fun-loving team in a growing company and industry.

Roles and Responsibilities: 

  • Become a part of our team during a milestone moment in our growth, benefiting from our deep cancer registry experience and employee-centric leadership. 
  • Deliver quality solutions to hospital partners across the country, approaching each hospital engagement as an opportunity to apply your expertise with precision.  
  • Bring your specialized knowledge and patient storytelling skills to our hospital partners through categorizing, coding, summarizing, interpreting, and mining registry/case information from nuanced, unstructured patient medical records.  
  • Perform data collection (abstracting) and reporting on eligible cancer cases under current state mandates and national accrediting agencies.  
  • Ensure quality submission of all data in specified registries or measure data repositories, maintaining a high accuracy threshold.  
  • Support our partners’ CoC Accreditation process with strong cancer registry operations, creation of policies and procedures, utilization of NCBD quality tools and knowledge of the how all the standards support quality patient care.
  • Engage in a variety of educational opportunities, including on-the-job learning guided by our in-house Quality & Education Team along with easily accessible CEUs and paid time for continuing education. 
  • Stay up to date on mandated regulatory/publicly reported data requirements as specified by federal, state, payer, and other agencies. 
  • Contribute to team best practices, data dictionaries, abstraction guidelines, and other business rule documents while also identifying process improvement opportunities to help streamline tasks and processes.
  • Contribute to our culture of perpetual learning and meaningful collaboration, supporting the development of your colleagues, including ODS-C (CTR) and Clinical Data Support Specialists.

Required Skills/Abilities: 

  • Know how to evaluate concordance with cancer program accreditation and other applicable standards. 
  • Have experience working with multiple patient medical record systems (EMRs) and clinical databases.
  • Possess strong analytical and critical thinking skills to approach problems in a systematic method, synthesizing data and suggesting recommendations.
  • Hold high standards for accuracy and are attentive to detail.
  • Call yourself technically savvy and are interested in learning new systems and technology.
  • Organized and adept at managing your time across multiple accounts and shifting timelines and priorities.
  • Deeply value information security and privacy, maintaining high responsibility in keeping PHI secure and confidential (psst… Q-Centrix is SOC2 + HITRUST certified, so we take our cybersecurity seriously!).
  • Applicants for employment with Q-Centrix must be legally able to work in the United States now or in the future without sponsorship

Education and Experience:

  • Must be the proud recipient of a CTR (CDS-C) Certification
  • Direct data abstraction experience in the Cancer Registry
  • 1+ years providing coaching and guidance to teams  
  • Exposure to patient medical record systems (EMRs) and clinical databases
  • Intermediate proficiency with MS Office (Microsoft Excel) 

Become a valued member of our team and count on us to provide:

  • W2 employment (not contract!) with opportunities to create a flexible work schedule to tailor your around your needs in a 100% remote environment (no travel or onsite work required!).
  • Competitive pay, including growth and advancement opportunities!
  • Paid onboarding while awaiting facility access.
  • Comprehensive benefits including medical, dental, vision, 401(k) with match, generous PTO, parental leave, employer-paid short- and long-term disability, employee wellness resources, paid education time and CEUs, and more.
  • Opportunities to learn new skills through our in-house quality and education department.
  • Exposure to the best cancer registry software on the market.
  • Positive and collaborative relationships with customers, colleagues, and leadership.
  • Consistent and ongoing workload

Brownie points if you have:

  • Experience working at or with a CoC Accredited facility.

Total Rewards:

At Q-Centrix, our purpose—safer, consistent, quality healthcare for all—drives everything we do. To accomplish this important work, we need to attract, engage, and retain a talented team by providing a compelling, equitable rewards package comprised of an inclusive culture, flexible work environment, learning and development opportunities, competitive pay that rewards high performance, and robust benefits that support health and financial wellness. Add to this package a supportive community of people who help each other not only do meaningful work, but learn, grow, and have fun while doing so, and you get an organization that has earned the Great Place to Work distinction multiple years in a row!​

The target wage range for this role is $25.00 – $26.00 per hour. Individual wage rates within this range are based on multiple factors including but not limited to skills, experiences, licensure, certifications, and other business and organizational considerations. Wage ranges are reviewed, at minimum, annually and all team members are eligible for performance-based wage rate increases annually.  The Q-Centrix compensation plan is productivity and accuracy focused, therefore, actual compensation could be higher or lower than target, dependent upon the team member’s performance.

In addition to our inclusive and innovative working environment and competitive pay, full-time* team members enjoy:

  • A fully remote work environment with flexible schedule and a generous Paid Time Off program with additional paid time for volunteering.
  • Robust benefits package including medical, vision, dental, health savings accounts, company paid short- and long-term disability, employee assistance program, paid parental leave, life insurance, accident insurance, and other voluntary benefit programs for employees and their eligible dependents.
  • 401(k) retirement plan with a company match.
  • Paid professional development hours and other supportive resources.

*Team members who are committed to work 30 or more hours each week are considered full-time

Commitment to Diversity, Equity, Inclusion and Belonging: 

At Q-Centrix, we hire people who love learning, value innovation, and believe in our purpose of safer, consistent, quality health care for all. We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive.

We employ people based on the needs of the business and the job, and their individual professional qualifications. Here’s what does not impact our employment decisions: race, religious creed, religion, color, sex, sexual orientation, pregnancy, parental status, genetic information, gender, gender identity, gender expression, age, national origin, ancestry, citizenship, protected veteran or disability status, health, marital, civil union or domestic partnership status, or any status or characteristic protected by the laws or regulations in locations where we operate. If you are an individual with a qualified disability and you need an accommodation during the interview process, please reach out to your recruiter.

Candidate Privacy Statements

Specialty Clinic Coding Spec (Remote)

Job Description

We’re a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

*This is a Remote Position*


Overview:

The coder is responsible for reviewing and analyzing documentation present in the medical record for inpatient, outpatient and/or professional services to assign diagnoses/procedure codes as described by the physician(s) of record. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.


Qualifications:

  • Experience: Coding certified and minimum 3 years of healthcare or equivalent experience preferred.
  • Education: High school diploma
  • Certifications: Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Interventional Radiology Cardiovascular Coder (CIRCC)
  • Other: Working knowledge and high level of experience with the ICD-10-CM and/or CPT/HCPCS coding classification systems, MS-DRG’s, APC’s, MPFS/RVU’s, POA’s, and HAC’s; dependent upon whether an IP, OP, or Professional Services Coder. The physical demands described here are the representative of the minimums that must be met by an employee to perform all essential functions of the job. Most physical demands are below, plus: Frequent: repetitive motion involves approximately 25% keyboard and 75% mouse for data entry.

We Offer Great Benefits:


Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

We’re bringing to life a healing ministry through compassionate care.


At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.


What Makes You a Good Match for Mercy?


Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

Surplus Lines Tax Coordinator

About Specialty Program Group: Specialty Program Group (SPG) is the wholesale & MGA division of HUB International (7th Largest Global Broker).  SPG acts in a holding company capacity acquiring best in class underwriting businesses to operate independently under discrete brands (portfolio companies). 

Responsibilities

  • Processing surplus lines tax transactions for all states within the deadlines set by those state entities. This includes, but is not limited to, affidavit processing, forwarding of policy to appropriate state (if required), and logging of transactions, etc.
  • Assisting with filing tax reports on a monthly, quarterly, semi-annual, and annual basis; involves running of reports and verification of data to ensure accuracy of information making sure to meet all filing deadlines
  • Reconciling and correcting discrepancies between the tax report and tax documentation received, including working with production teams to resolve invoicing errors
  • Updating internal systems and reporting data bases with the status of the tax filing support on each transaction
  • Working at the direction of the Compliance Manager to complete surplus lines state audits or inquiries – verifying transactions, documents, and filings
  • Ensuring all compliance guidelines are properly followed on non-admitted transactions
  • Performing other related duties as assigned

Experience Requirement

  • Associate degree or equivalent combination of education and experience
  • 1-year professional work experience preferred
  • Knowledge of insurance industry, admitted vs. non-admitted markets, is preferred but not required
  • Microsoft Office proficiency with an emphasis in Excel
  • Strong math and analytical skills
  • Must have exceptional attention to detail
  • Ability to organize and prioritize workload to meet deadlines
  • Excellent communication and interpersonal skills
  • Ability to prioritize and execute tasks independently in a fast-paced environment

Disclosure required under applicable state or municipality regulations: The expected salary range for this position is $40,000-$45,000 and will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level. HUB International is proud to offer comprehensive benefit and total compensation packages which could include health/dental/vision/life/disability insurance, FSA, HSA and 401(k) accounts, paid-time-off benefits, and eligible bonuses, equity and commissions for some positions.

#Remote

#LI-ES1Department Business OperationsRequired Experience: 1-2 years of relevant experienceRequired Travel: No Travel RequiredRequired Education: Associate degree (2-year degree)

Clinical Placement Administrator

What You’ll Do

As the Clinical Placement Administrator, you will work with graduate and post-graduate nursing students across multiple school partners and degrees. You will assist the clinical placement team with the student’s fieldwork placement lifecycle as part of their Master’s and Doctorate curricula. Your focus will be to help the team manage the administrative and student/site data across the different programs with the goal of getting all students placed and ready to start their rotations every semester. You will also assist a team of Placement Advisors in data entry, site and preceptor management, collection of clinical site clearance and onboarding information, and assist with student clearances as needed by the team.

The successful candidate will work remotely on a 1099 contract basis. A minimum of 20 hours a week of daytime availability is required.

You will:

  • Manage all aspects of data entry related to clinical placement operations, including utilizing Google Sheets and the placement portal to maintain appropriate records. (20%)
  • Enter the new site and preceptor information in the placement database system and update and maintain existing data. (35%)
  • Conduct clinical site development and outreach in support of various school accounts and program disciplines. (20%)
  • Organize clinical facility networks, including data cleanup, creation of correct contacts for clinical facilities, and updating contact information as needed. (20%)
  • Assist the Placement Team/Contracts coordinator (typically during cohort start dates) to ensure that required affiliation agreement contracts have been received from sites and timely uploaded in the placement portal. (5%)
  • Client and student-facing interactions as needed.

What You Need to Get the Job Done

  • Associate’s or Bachelor’s degree with studies in business, psychology, or health science preferred
  • Experience working in Higher Education
  • One year of administrative experience preferred
  • Proficient with Google Workspace; specifically Google Sheets
  • Comfortable learning new technologies/CRMs
  • Demonstrated general understanding of business operations & process management
  • Demonstrated ability to thrive in a dynamic work environment
  • Meets adversity with a calm demeanor and a sense of humor
  • Strong commitment to foster collaboration and build relationships within the health care systems, students, and partners, as needed
  • Excellent communications skills, both verbal and written, in virtual environments
  • Strong interpersonal skills and a history of achieving positive results collaboratively.
  • Focused on finding solutions to challenges

What Will Make Us REALLY Love You

  • Passion for student learning and positive outcomes
  • Demonstrated ability in the development of clinical placement solutions
  • Shows curiosity in learning new processes and understanding the business
  • Demonstrated understanding of FERPA and a strong sense of discretion while handling sensitive information
  • Ability to establish collaborative and collegial relationships with various stakeholders while still moving tasks forward and meeting deadlines
  • Stays calm in stressful or emergent situations; de-escalates situations through active listening and open collaboration
  • Adapts quickly and positively to changing priorities
  • Strong organizational skills, excellent follow-through, and exceptional attention to detail

Pharmacy Business Systems Analyst

Description

Location: Leprino Office Building, Aurora, CO (This is will be in the office, not remote)

Department:  UCHlth Pharmacy Administration

FTE: Full time, 1.0, 80 hours pay period (2 weeks)

Shift: Days

Pay: $30.24 – $45.36 / hour.  Exempt (salary). Pay is dependent on applicant’s relevant experience.

Requirements:

  • High School diploma or GED. 
  • 3 years of related experience in financial analysis – preferably with insurance company/payor including Pharmacy Benefit Manager (PBM) and Health Plan or health care provider system.

Preferred: 

  • Bachelor’s degree in Analytics, Finance, Healthcare Admin, Accounting or Business Management. 
  • Proficient in Microsoft Suite applications such as Excel, Access, PowerPoint, Word.
  • 2-4 years experience in healthcare organization or health insurance company. 
  • Certified Pharmacy Technician.

Responsibilities:

  • Analyzing proposals by monitoring payment variances, identify revenue and cost trends.
  • Track contract performance against projections.
  • Experience in negotiating pharmacy and healthcare contracts with PBM, TPAs, health system, hospital and managed care organization.
  • Reviews charge levels against third party payer contracts, summarizes findings and communicates results to manager and the revenue integrity team.
  • Administer revenue capture analysis and report by validating reimbursement and investigating claims.
  • Assist manager in third party payer reimbursement appeals.
  • Support manager in tracking top contracts, top lines of business and payer mix.
  • Ad-hoc reporting to identify third party payor populations as needed by leadership.
  • Review reconciliation of claims activity identifying payment discrepancies and summarize results to Manger, Revenue Integrity Operations Team for action.
  • Analyze trends to assess efficiency of business activities and recommend plan adjustments or other improvement measures to manager.

UCHealth offers a Five Year Incentive Bonus to recognize employee’s contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of five years’ employment.

UCHealth offers their employees a competitive and comprehensive total rewards package:

  • Full medical, dental and vision coverage
  • Retirement plans to include 403(b) matching
  • Paid time off. Start your employment at UCHealth with PTO in your bank
  • Employer-paid life and disability insurance with additional buy-up coverage options
  • Tuition and continuing education reimbursement
  • Wellness benefits
  • 5 year incentive bonus
  • Full suite of voluntary benefits such as identity theft protection and pet insurance
  • Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may also qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

Loan Repayment:

UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program!

UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

At UCHealth, we do things differently

We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado’s largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it’s a passion.

Going beyond quality requires the perfect balance of talent, integrity, drive and intellectual curiosity. We are looking for individuals who recognize, like us, that the world of medicine is ever-changing and are motivated to do what is right, not what is easy. We support creativity and curiosity so that each of us can find the extraordinary qualities within ourselves. At UCHealth, we’ll do everything in our power to make sure you grow and have a meaningful career. There’s no limits to your potential here.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

Be Extraordinary. Join Us Today!

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Seasonal Quality Assurance Representative

Seasonal (Temporary) Quality Assurance Representative

Remote

$14.00 per hour

Bloom, the insurance industry’s trusted growth partner, is looking for an experienced and dedicated seasonal Quality Assurance Representative (QAR) to monitor recorded calls using rigorous standards to help agents develop habits and actions that improve their overall job performance. QAR’s must possess a superior attention span, enjoy a fast-paced environment, and demonstrate efficiency and accuracy when reviewing and scoring recorded calls.

We are looking for an exceptional individual who can:

  • Conduct quality monitoring of call center agent recordings using documented standards and systems to identify trends and make recommendations for improvement, where applicable.
  • Identify performance gaps in soft skills, administrative service, and established policies or processes.
  • Summarize findings and recommend solutions to management for individual and systematic and or process improvements.
  • Collaborate with the call center management team to implement solutions.
  • Document agent interaction with callers for both agent feedback and tracking purposes.
  • Flag compliance issues when identified and escalate to the appropriate department.
  • Communicate with managers on agent progress and follow up.
  • Review Bloom intranet, emails, and agent folders to stay updated on program specifics.
  • Keep informed on daily client requests through monitoring Teams channels and QA group chats and incorporate those into the evaluation forms, where applicable.
  • Attend calibration sessions, if scheduled by client/manager.
  • Assist in ad-hoc projects, including live monitoring and/or coaching.
  • Assist with onboarding new Quality Assurance Representatives through nesting activities.
  • Perform all other duties as assigned.

Education and Experience

  • High school diploma or GED
  • Experience in Customer Service, Call Center Experience and/or Quality review in a Call Center Environment preferred

Skills and Abilities

  • Proficient with Windows programs, specifically Excel
  • Strong comprehension skills
  • Robust writing skills
  • Adept verbal communication skills
  • Detail-oriented
  • Proven ability to work accurately and efficiently with daily deadlines
  • Effective multitasking aptitude
  • Able to work independently without supervision, and as part of a team
  • Discreet and professional attitude
  • Always maintain discretion and professionalism regarding agent performance

What We Offer
At Bloom, we offer an engaging, supportive work environment, great benefits, and the opportunity to build the career you always wanted. Benefits of working for Bloom include:

  • Competitive compensation
  • Comprehensive health benefits
  • Long-term career growth and mentoring

About Bloom
As an insurance services company licensed in 48 contiguous U.S. states, Bloom focuses on enabling health plans to increase membership and improve the enrollee experience while reducing costs. We concentrate on two areas of service: technology services and call center services and are committed to ensuring our state-of-the-art software products and services provide greater efficiency and cost savings to clients.

Ascend Technology ™
Bloom provides advanced sales and enrollment automation technology to the insurance industry through our Ascend ™. Our Ascend™ technology platform focuses on sales automation efficiencies and optimizing the member experience from the first moment a prospect considers a health plan membership.

Bloom is proud to be an Equal Opportunity employer. We do not discriminate based upon race, religion, color, national origin, sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.

Live Chat Representative

CanadaMerchant Experience – Support /Remote /Remote
In a world of beeps and clicks, Smile reminds us there is a human on the other side of every screen. Smile is the largest provider of loyalty programs in the world. We currently power over 60,000 rewards programs, reaching more than 500 million customers. Right now we’re working on expanding our product to support the massive growth of e-commerce.

Above all, we strive to make people happy – from the merchant to their consumer, to our team. The Smile team is globally distributed with employees in Canada, the USA, South America, EMEA, and APAC. We’ve been recognized as a “Best Place to Work” in Canada and look forward to expanding this on a global scale. As a business, we are in constant evolution and the same is true of our people. We’re here to support each other in our growth. We talk about our career & personal goals and lean into the diversity within our people for mentorship, tools, and encouragement to grow.

About the Role: As part of the Merchant Success team, the Live Chat Representative is the first point of contact for both prospective and tenured merchants running their loyalty programs with Smile. You will be expected to quickly handle a high volume of conversations, triaging those conversations to determine if you can help yourself, or if you need to smoothly escalate the conversation to another Smile support team.
What You’ll Do:
Be the first point of contact for both current and prospective Smile merchants, handling a high volume of conversations with accuracy.
Help prospective merchants articulate the value of Smile.
Ability to delegate escalations effectively through concise internal communication.
Build trust, empathize, and delight merchants by setting the standard for what exceptional support looks like.
Contributions to Live Chat team initiatives (Internal SOPs, Knowledge Management, etc.)
What you’ll help us achieve:
5-star Shopify app store generation, meeting or exceeding individual target quota. This is crucial for this role.
A team Customer Satisfaction (CSAT) score of 90% or better.
Internal efficiency. Live Chat acts as a ‘gatekeeper’ and this must be done effectively to avoid reassignments to inaccurate teams.
Clean internal conversation flow that fosters a positive merchant experience and sentiment.
Requirements/Skills:
Based in/able to work 9-5pm EST (+/- an hour) Monday to Friday.
High level of empathy.
Competency in a digital environment. We use tools like Notion, Slack, Google Sheets, Metabase, etc. You don’t have to know how to use all of these tools when you apply, but you must have a mindset that is fairly adept at learning new technologies.
Knowledge of the e-commerce industry/desire to learn and keep up with industry trends.
Ability to multitask and handle a high volume of conversations.
Working knowledge of HTML/CSS/JS (or any coding language) and using web inspector.
Openness to being coached.
Team-oriented mindset.
Able to operate independently in a remote environment while maintaining focus.
Bonus if you have:
Service Industry experience: not a requirement by any means, but if you may be lacking in technical experience, you are not ruled out before you even apply. Applicants who come from the service industry, and who can understand technology fairly well, have been proven to be strong assets to the team here at Smile.
Experience with Intercom and/or working in a similar role in a prior job.
Experience working remotely.
E-commerce experience, whether that be working in the industry, or running your own store.
Our commitment to candidates:
At Smile, we understand that finding a new role is challenging and that self-doubt or imposter syndrome can prevent you from applying to a role, don’t let it! You have a ton to offer and we want you to feel encouraged to apply, even if you don’t check all of the boxes. If you are passionate about eCommerce and helping merchants grow through loyalty and reward, connect with us.

At Smile, we rely on a range of backgrounds, experiences, and ideas. We value diversity, and we’re proud to be an inclusive, equal opportunity workplace. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Smile welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process.

Senior Fraud and Payments Manager

Hi, we’re Underdog!

We’re the fastest-growing sports gaming company ever.

Our mission is to build innovative games and products for American sports fans.

Founded in 2020, our team built three of today’s most widely played fantasy games and successfully launched the largest contest in the history of fantasy sports: a $15M NFL Best Ball tournament — and there’s a lot more to come! Underdog’s modern tech environment and in-house product development allow us to continuously deliver the best experiences for our users.

The opportunity in front of us to become the biggest company in our space is massive; after all, we’re currently sitting in the fastest-growing consumer industry in the U.S. In just over two years, we reached a nearly $500 million valuation through some of the best investors in the game, including Mark Cuban, Kevin Durant, BlackRock, and SV Angel. We are many times larger now and our growth is not slowing down.

At Underdog, we believe that sports are for everyone and are building a tomorrow for every fan. Want to help create that future? Join us.

Please note, Underdog is a US based company and no sponsorship is available for this position at this time.

About the role and why it’s unique:

  • As the Fraud and Payments Manager, you will play a critical role in safeguarding financial transactions, preventing fraudulent activities, and optimizing payment processes to ensure a seamless and secure betting experience for our customers. Your expertise will be essential in mitigating risks, maintaining compliance with industry regulations, and preserving the integrity of Underdog.
  • Manage a section of the Fraud team, overseeing the day to day operations
  • Utilize internal data and reporting tools to identify patterns and trends and guide the teams accordingly
  • Gather risk-related data from external resources to make informed decisions.
  • Perform reviews of account investigations and check fraud reports prior to submission
  • Assist in collecting data and using that data to help resolve chargeback and reduce fraud
  • Be part of a team that can collaborate remotely in real time
  • Work closely with the RG, AML and Customer Service teams to help resolve any patron inquiries or issues regarding payments or fraud
  • Collaborate with various stakeholders and partners

Who you are:

  • At least 3+ years managing large teams (10+) in a Fraud and Payments role in the sports betting and igaming industry
  • In-depth knowledge of fraud detection tools, payment gateways, and risk assessment models
  • Proficiently adept at sifting through extensive volumes of information
  • Strong analytical skills and the ability to interpret complex data to make informed real-time decisions
  • Leadership experience and the ability to mentor and motivate a team
  • Willing to work weekends and holidays

Even better if you have:

  • Previous experience in a startup environment
  • Familiarity with regulatory requirements and best practices in the sports betting and online gaming industry


Our targeted compensation rate for this position is between $120,000 and $150,000 depending on experience, plus equity. Think your skills are exceptional and warrant higher pay? Apply anyway! If we agree, we’re willing to negotiate.

What we can offer you:

  • Unlimited PTO (we’re extremely flexible with the exception of the first few weeks before & into the NFL season)
  • 16 weeks of fully paid parental leave
  • Monthly raffle to win a sports ticket reimbursement of up to $500 (including game day snacks)
  • A $500 home office allowance
  • Underdog credits to play on our platform
  • A connected virtual first culture with a highly engaged distributed workforce
  • 5% 401k match, FSA, company paid health, dental, vision plan options for employees and dependents

Data Entry Agent

We are seeking a highly detail-oriented and organized individual to join our team as a Data Enrichment Agent. This position will be responsible for accurately entering and maintaining provider credentialing data into our electronic database.

As a Data Entry Agent, you will be joining our Data Enrichment team to support the execution of licensing in the healthcare field for our clients. You’ll be held to a high quality of work standard and will be a contributor to the quality control process.

Key Responsibilities:

  • Involved with voice and non-voice processes
  • Manage either inbound/outbound calls in a professional manner
  • Verifying information provided to our client by 3rd party entities by using online databases to cross-check information 
  • Entering information found on online databases into our databases
  • Conducting internal, or online, research into verifications
  • Purchase primary source verifications from third parties
  • Highlighting issues or negative trends to managers to address areas for improvements in business processes
  • Attending team check-ins and training as needed 
  • Updating providers’ licenses on our database
  • Track and follow up on enrollment requests, ensuring provider numbers are established and linked to the appropriate group entity
  • Assists with a variety of special projects such as CAQH, etc.
  • Performs other duties as assigned

Why we think this job is great:

  • It’s a 100% remote position where you’ll work from home in Colombia
  • You’ll have the resources you need to learn, lead, and deliver results

Qualifications:

  • Willing to work on both, voice and non-voice processes.
  • Excellent command of the English language.
  • Great written and verbal communication skills.
  • Attention to detail and accuracy.
  • Able to support a Work from Home setup.
  • Own PC/laptop (Minimum of i3 processor, 4 gig RAM).
  • Internet speed no lower than 15 Mbps download, 10 Mbps upload.

About Us

Bold Business is a remote-first, global outsourced-solutions company with over $7B in service solutions over the past 25 years. Our international team helps the world’s leading companies transform their ideas into bold impacts. From Fortune 500 organizations looking to reduce operational costs by 40%-60% to fast-growth startups looking to scale, we work behind the scenes and empower companies to do more for less.

If you like to move fast and have a bias for action, you’ll fit right into our fast-paced, results-based environment. We’re a 100% remote/virtual team environment where you can work from wherever you are.

#LI-REMOTE

Accounts Receivable Specialist

Become an Assembler! We are looking for an Accounts Receivable Specialist to join our Physician RCM Services team. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

This is a full-time, non-exempt hybrid position reporting to the Director of Billing.

What you’ll do
Identify, investigate, and resolve unpaid claims.
Research and resolve payment and adjustment discrepancies.
Submit claims’ reconsiderations and appeals.
Research payer policies.
Resolve patient queries and verify insurance coverage.
Other tasks as needed.
What we’re looking for
1-2 years of proven experience as an A/R Specialist within a physician practice.
Manage critical deadlines and keen attention to detail.
Escalate any discrepancies to management.
Excellent verbal and written communication skills.
Must be resourceful, persistent, and possess excellent problem resolution skills.
Proficient in Epic and Microsoft Office.
Ability to function well in a fast-paced and at times stressful environment.
Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.
Why join the team?
Be part of something special! We are growing both organically and through acquisitions.
Career growth – your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
Ongoing training and development programs.
An environment that values transparency.
Virtual and in-person events to connect with your team.
Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.

Credentialing Specialist

Affiliated Professional Services is looking for creative and motivated problem solvers who will prepare and submit enrollment applications, maintain active physician credentials, and follow upon the status of applications for physicians and payers. Your efforts will help APS meet our objectives of partnering with providers and long-term care facilities nationwide for technology and provider services. If you are looking for a company that is focused on being the best in the industry and love being challenged and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

What you’ll do
Complete enrollment/credentialing and re-credentialing applications.
Maintain a detailed log of all pending and completed work.
Communicate the results and status of the applications to physicians, payers, managers, and co-workers.
Maintenance of physician enrollment and CAQH profiles.
Documentation within enrollment database.
Coordinate signatures
Payer processing and research.
Involves extensive phone work and internet.
Research and resolve claim issues related to physician enrollment.
What we’re looking for
Experience in the medical billing field and/or healthcare provider relations.
Prior Enrollment or Credentialing experience is preferred.
College degree or degree in process preferred.
Proven customer service, client relations, and claims resolutions experience.
Professional demeanor with a self-starter attitude.
Ability to work independently as well as in a team environment.
Proficiency in Microsoft Office Suite.
Strong written and verbal communication skills with customer service focused aptitude.
Detail-oriented individuals who are team players and highly self-motivated.
Ability to multitask in fast paced environments.
Strong reporting expertise with ability to provide status report and escalation where necessary.
APS requires employees working from home, or otherwise remote, maintain broadband internet access at the address where remote work is being performed. APS will require a valid speed test report. If you are unable to meet these requirements, please discuss with your recruiter.
Why join the team?
We pay you for your initiative! Competitive compensation.
Be part of something special-we are in high growth mode through organic growth and acquisition
Robust ongoing training and development programs
Competitive Benefit Packages available, Paid Holidays, and Paid Time off to enjoy your time away from the office.
This position is 100% remote


Charge Poster

Become an Assembler! We are looking for a Charge Poster to join our Physician RCM division. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further!  We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

This is a full-time, non-exempt position reporting to RCM Account Manager.

What you’ll do

  • Enter patient demographics.
  • Post daily charges and/or surgical procedures.
  • Post time of service payments.
  • Balance charges and time of service payments.
  • Run billing, and close folders.
  • Work aged claims as requested by managers.
  • Answer phones and assist patients with questions regarding their statements.
  • Attend department meetings and other general staff meetings.
  • Other tasks and projects as needed.

What we’re looking for

  • Basic knowledge of RCM billing and insurance practices and procedures.
  • Utilization of a computer with MicroMD Software is required.
  • Strong communication skills and excellent customer service skills are required.
  • The ability to work independently as well as in a team environment is necessary.
  • Ability to function well in a fast-paced and at times stressful environment.
  • Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

Why join the team?

  • Be part of something special! We are growing both organically and through acquisitions.
  • Career growth – your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
  • Ongoing training and development programs
  • An environment that values transparency
  • Virtual and in-person events to connect with your team.
  • Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.

Paid Media Specialist

RemoteMarketing – Marketing /Full Time /Remote
Restaurant365 is a SaaS company disrupting the restaurant industry! Our cloud-based platform provides a unique, centralized solution for accounting and back-office operations for restaurants. Restaurant365’s culture is focused on empowering team members to produce top-notch results while elevating their skills. We’re constantly evolving and improving to make sure we are and always will be “Best in Class” … and we want that for you too!

The Paid Media Specialist will support the Senior Manager, Demand Generation in executing digital marketing programs and driving opportunities for our Sales team. The Specialist will have experience with digital advertising platforms and be eager to contribute and grow in a dynamic B2B SaaS environment.
How you’ll add value:
Support Digital Marketing Initiatives: Assist in creating, executing, and monitoring digital marketing campaigns across platforms like Google, Bing, LinkedIn, Facebook, Instagram, YouTube, TikTok, etc.
Experimentation Aid: Support the ideation and execution of growth experiments under the guidance of the Senior Manager.
Data Analysis: Help in tracking and analyzing the performance of various campaigns, providing insights for optimization.
ABM Support: Assist in crafting and deploying multi-channel ABM campaigns.
Collaboration: Work with the Senior Manager and content team to ensure synchronization with sales, product, and partnership teams across all paid media campaigns.
Miscellaneous Duties: Assist with other demand generation tasks as directed by the Senior Manager.
Other duties as assigned.
What you’ll need to be successful in this role:
Experience: 2-4 years in digital marketing or a related role, preferably in a B2B SaaS environment.
Digital Marketing Skills: Experience with digital marketing platforms like Google, Bing, LinkedIn, Instagram, Facebook, YouTube, TikTok, etc.
Organizational Skills: Ability to manage multiple projects and campaigns simultaneously.
Analytical Mindset: Strong data analysis skills and the ability to provide actionable insights.
Communication: Effective communication skills, both written and verbal.
Team Player: Ability to work collaboratively in a team setting.
Proactive Approach: Eager to learn, contribute, and grow in the demand generation domain.
Detail-oriented.
Results-driven.
Adaptable to change.
A self-starter with a positive attitude.

PREFERRED QUALIFICATIONS
Experience with programmatic display and video ad campaigns.
Experience with Salesforce (SFDC)
Experience with Domo
R365 Team Member Benefits & Compensation
This position has a salary range of $66K-$90K. The above range represents the expected salary range for this position. The actual salary may vary based upon several factors, including, but not limited to, relevant skills/experience, time in the role, business line, and geographic location. Restaurant365 focuses on equitable pay for our team and aims for transparency with our pay practices.
Comprehensive medical benefits, 100% paid for employee
401k + matching
Equity Option Grant
Unlimited PTO + Company holidays
Wellness initiatives

BI-Remote

$66,000 – $90,000 a year

Payroll Tax Corrections Specialist

RemoteBusiness Operations – Workforce /Full Time /Remote
Restaurant365 is a SaaS company disrupting the restaurant industry! Our cloud-based platform provides a unique, centralized solution for accounting and back-office operations for restaurants. Restaurant365’s culture is focused on empowering team members to produce top-notch results while elevating their skills. We’re constantly evolving and improving to make sure we are and always will be “Best in Class” … and we want that for you too!

The Prior Period Tax Specialist is responsible for researching and correcting prior period tax issues and/or related payroll corrections in accordance with federal, state, and local requirements. This role requires a high level of understanding in the tax filing and payments process and will collaborate with both external and internal stakeholders.
How you’ll add value:
Research, reconcile, and prepare amended tax returns and payments for federal, state, local jurisdictions.
Create and reconcile journal entries for state and local tax payments.
Research payroll tax issues raised by internal stakeholders and customers and provide timely resolutions.
Completes tax rate protests, abatements, and account reconciliations and audits.
Identify and resolve root cause discrepancies and recommend process improvements to reduce tax issues and improve filing efficiencies.
Assists with special projects as needed including quarter-end and year-end processing.
Other duties as assigned
What you’ll need to be successful in this role:
2+ years of payroll tax filing experience.
Demonstrated working knowledge of U.S. local, state, and federal payroll tax laws, regulations, and compliance requirements to ensure product and services are compliant.
Experience using QuickBooks or a similar accounting platform.
Attention to detail and strong organizational and work prioritization skills.
Knowledge and experience in the SaaS / Software industry preferred, but not required.
Advanced demonstrated knowledge of Microsoft Excel and tax and payroll systems and how they operate.
Ability to work with company executives to understand the company’s business needs and strategy.
Excellent written/verbal communication skills.
Must be able to maintain confidentiality and use upmost discretion when accessing sensitive information.
Able to meet and exceed strict deadlines while handling high volume of clients.
R365 Team Member Benefits & Compensation
This position has a salary range of $25-$31.25 per hour. The above range represents the expected salary range for this position. The actual salary may vary based upon several factors, including, but not limited to, relevant skills/experience, time in the role, business line, and geographic location. Restaurant365 focuses on equitable pay for our team and aims for transparency with our pay practices.
Comprehensive medical benefits, 100% paid for employee
401k + matching
Equity Option Grant
Unlimited PTO + Company holidays
Wellness initiatives

BI-Remote

$25 – $31.25 an hour
R365 is an Equal Opportunity Employer and we encourage all forward-thinkers who embrace change and possess a positive attitude to apply.

Reclamations Analyst

Job Description

The Reclamation Analyst serves as the primary point of contact for the daily coordination of logistics associated with student computer hardware reclamation processes. The Reclamation Analyst is part of the Customer Support Operation team in the Enrollment Center, a diverse and fast-paced environment that serves our customers throughout their journey with K12. This role assists in retrieving K12 Loaner technology for the purposes of refurbishment. The Reclamations Analyst will utilize technical skills in K12 systems and work collaboratively with other critical teams at K12. Business hours for the team are from 8:00AM -8:00PM ET Monday- Friday.
Over 20 years ago, Stride was founded to provide personalized learning — powered by technology. We reached students where they were in their own journeys. We knocked down their barriers to great education. And we gave every learner equal opportunity to succeed — however they defined success. Stride innovated the learning experience with online and blended learning that prepared them for their lives ahead.

Stride is a community of passionate leaders. Whether teachers, engineers, curriculum writers, or financial managers — whatever your expertise or role, we all work to empower futures through learning. And changing the trajectory of learning itself is one of our greatest missions. Join us in developing more effective ways to learn and helping learners build the skills and confidence they need to make their way forward in life.

The Reclamation Analyst serves as the primary point of contact for the daily coordination of logistics associated with student computer hardware reclamation processes. The Reclamation Analyst is part of the Customer Support Operation team in the Enrollment Center, a diverse and fast-paced environment that serves our customers throughout their journey with K12. This role assists in retrieving K12 Loaner technology for the purposes of refurbishment. The Reclamations Analyst will utilize technical skills in K12 systems and work collaboratively with other critical teams at K12. Business hours for the team are from 8:00AM -8:00PM ET Monday- Friday.

This is a temporary/contractor role that offers a 40-hour work week.

ESSENTIAL FUNCTIONS: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

· Process all hardware reclamation label requests using the Customer Relationship Management (CRM) system and direct emails

· Process assigned service requests using the CRM for status updates, fulfillment requests and tracking information

· Provide daily reclamation and cancellation files to vendor; updates master files

· Work with schools and teachers directly to reclaim computers;

· Process live inbound calls from auto dialer batch

· Make live outbound calls to recover hardware

· Handle vendor cancelled recoveries

· Manage reclamation email inbox for all types of requests and escalations from schools, teachers, and families

Supervisory Responsibilities: This position has no formal supervisory responsibilities.

MINIMUM REQUIRED QUALIFICATIONS:

· High School diploma AND

· One (1) year of experience in operations, administration or other relevant work OR

· Equivalent combination of education and experience

Certificates and Licenses: None required.

System Requirements:

· Our work from home members are required to have and maintain High-speed internet connection. At the minimum 50Mbps download speed and 10Mbps upload speed, if not competing with other household users. For the sake of call quality, satellite, DSL, data plans, wireless or dial-up services are not compatible.

· Some Internet service providers enable what is called SIP ALG (Session Initiation Protocol Application Layer Gateway). This interferes with our systems and must be disabled by the provider.

· Ethernet connection is preferred.

OTHER REQUIRED QUALIFICATIOS:

· Ability to communicate with customers effectively through various communication channels, such as: phone, voicemail, email, chat, etc.

· Physical requirements: sedentary work, fluent typing, listening, speaking, extensive reading, repetitive motions, and extended computer usage.

· Own or have daily access to a smart device where Apps can be downloaded/accessed (i.e., phone, tablet)

· Ability to maintain a professional home office without distraction during our hours of operation

· Attend virtual training via webcam

· Own or have daily access to a smart device where Apps can be downloaded/accessed (i.e., phone, tablet)

· Microsoft Office (Outlook, Word, Excel, PowerPoint, etc.); Web proficiency.

· Strong verbal and written communication skills

· Consultative approach to customer service

· Strong problem solving and analytical skills with a solutions-oriented approach

· Ability to work independently and within a team-oriented environment

· Resilient and contributes to fostering positive team morale

· Ability to prioritize effectively and manage competing priorities to deliver and drive results

· High level of quality and accountability for work product

· Ability to travel 10% of the time (minimal if any e.g. team building event)

· Ability to clear required background check

DESIRED QUALIFICATIONS:

· Salesforce Experience

· Prior Stride/K12 Enrollment Center Experience

· Pervious customer service or sales experience with proven record of achievement

· Previous experience in a call-center environment

· Experience with Stride/K12 Systems such as TotalView Suite, SAMS, Calabrio, etc.

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.

· This is a home-based, remote position

Compensation & Benefits: Stride, Inc. considers a person’s education, experience, and qualifications, as well as the position’s work location, expected quality and quantity of work, required travel (if any), external market and internal value when determining a new employee’s salary level. Salaries will differ based on these factors, the position’s level and expected contribution, and the employee’s benefits elections. Offers will typically be in the bottom half of the range.

We anticipate this position will pay $16.50 per hour. This is a temporary/contractor role and you will be an employee of Randstad. This salary is not guaranteed, as an individual’s compensation can vary based on several factors. These factors include, but are not limited to, geographic location, experience, training, education, and local market conditions. Randstad offers a robust benefits package for eligible employees that can include health benefits, retirement contributions, and paid time off.
Job Type

Contractor
The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is “at-will” as governed by the law of the state where the employee works. It is further understood that the “at-will” nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.

Software QA Specialist for School Site

Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and faith-based organizations, serving more than 1,300 higher education institutions, 11,500 K-12 schools, 3,500 churches, and millions of individual students, families, and supporters across the globe. Our culture of service enables us to form long-lasting and trusted partnerships, while our focus on creativity and innovative solutions empowers our customer communities to thrive.

As a Nelnet company, the perks at NBS go beyond our benefits package. You’re part of a community, invested in you as an individual and united by our mission to create opportunities for people where they live, learn and work.

The Software QA Specialist oversees the quality of products produced by the Software Development Team. This position focuses on process improvements that result in high quality production operation of software products. In addition, the Software QA Specialist monitors for and reports on quality issues and is responsible for ensuring the team’s processes change to avoid repeated issues.

JOB RESPONSIBILITIES:

  1. Work effectively to define testable user stories that includes test cases and acceptance criteria.
  2. Review School Site customer websites to ensure they are performing optimally. For more info about School Site: https://schoolsite.factsmgt.com .
  3. Monitor software logs, metrics and performance data for issues or opportunities to improve software quality.
  4. Triage, validate, and track bugs or issues that are reported to the team.
  5. Leads “after action” reviews to ensure the team is learning from issues and improving their QA practices.
  6. Ensure the product meets UX design standards and accessibility guidelines.
  7. Identify opportunities to improve efficiency and effectiveness in automated tests.
  8. Conduct manual and exploratory testing to validate quality.

Salary Range: $65,000 – $75,000

EDUCATION:

  1. Bachelor’s degree or equivalent experience.

EXPERIENCE:
Experience with NBS products or similar position at another company.

COMPETENCIES – SKILLS/KNOWLEDGE/ABILITIES:

  1. Ability to handle multiple priorities and work under pressure.
  2. Ability to learn to read and understand programming languages.
  3. Ability to learn database querying skills (e.g., SQL or MongoDB).
  4. Understanding of business requirements and how they relate to technical requirements.

Accessibility Project Manager

Nelnet is a diversified and innovative company committed to enriching lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable energy solutions, and K-12 and higher education expert. For over 40 years, Nelnet has been serving its customers, associates, and communities.

The perks of working at Nelnet go beyond our benefits package. When you join the Nelnet team, you’re part of a community invested in the success of each individual. That support comes through in our work, as we are united by our mission of creating opportunities for people where they live, learn, and work.

Manages, directs, and plans complex project(s) consisting of one or more project teams. Responsible for coordinating, scheduling, and assigning project tasks, managing backlogs, team building and leadership, and developing and maintaining positive working relationships with clients in functional areas outside of IT as well as external customers. Applies project development methodologies and reporting techniques to indicate project status.
JOB RESPONSIBILITIES:

  1. Manages and directs one or more project teams to meet project objectives.
  2. Reviews, evaluates, and formulates project plans, schedules, and budgets.
  3. Oversees requirements solicitation and definition for the projects.
  4. Manages staff and budget resources required to meet changing corporate needs.
  5. Understanding, and persuades others when appropriate.
  6. Identifies and negotiates schedules, milestones, and resources required to meet project objectives.
  7. Leads problem resolution and decision making through facilitation and troubleshooting.
  8. Organizes and guides project operations through the use of industry-accepted methodologies.
  9. Evaluates progress and reports progress in terms of quality and performance metrics common to IT projects.
  10. Works with client departments to coordinate systems testing, installation, training, and support.

EDUCATION:

  1. Bachelor’s degree in Information Science or related field and/or equivalent combination of education and experience.
  2. PMI certification preferred.
  3. 2 or more experience with Agile methodologies.

EXPERIENCE:
Experience in leading teams of developers, analysts, architects and engineers preferably in a matrix organization. Expert level experience working with data in Excel, and MS Project.

COMPETENCIES – SKILLS/KNOWLEDGE/ABILITIES:

  1. Ability to manage projects from inception to successful post-implementation.
  2. Demonstrated competency in developing effective solutions to successfully resolve diverse and complex business problems.
  3. Strong analytical, communication, technical teamwork, and interpersonal skills.
  4. Must be proficient in SharePoint and preferably experience with TFS, MS CRM, Access, or other database utilities and other Microsoft technologies.
  5. Works with Assigned project lead to ensure client deliverables and timelines being adhered to.
  6. Status of Pipeline and Active Projects (estimate due dates, Customer follow-up).
  7. Tracking estimates to actuals and contract profitability reporting.

Pay range for this role is $75,000-$120,000 annually depending on experience.

Our benefits package includes medical, dental, vision, HSA and FSA, generous earned time off, 401K/student loan repayment, life insurance & AD&D insurance, employee assistance program, employee stock purchase program, tuition reimbursement, performance-based incentive pay, short- and long-term disability, and a robust wellness program. Click here to learn more about our benefits: LINK.

Nelnet is an Equal Opportunity Employer, complies with Executive Order 11246, and takes affirmative action to ensure that qualified applicants are employed, and that employees are treated during employment, without regard to race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance.

Reimbursement Analyst II

What are important things that YOU need to know about this role?

This position is full-time, permanent remote

Hours: flexible. Monday through Friday day hours CST

Organization, attention to detail and accuracy are keys to success in this role

What will YOU be doing for us? Ensure accurate and timely payment of claims to providers. Utilize research and knowledge of coverage and benefits to ensure resolution to more difficult claim payment issues.

What will YOU be working on every day?

Submit accurate and timely payments to providers, keeping within contractual service level agreements for each market. Develop and maintain controls over the proprietary processed data and systems set up through developing and implementing auditing procedures, and identifying potential claim audit exposures.

Interpret and understand coverage and benefit limitations by having a comprehensive understanding of benefits and state requirements for multiple markets.

Assure that claims are paid within the expected time frames by monitoring inventory control and working with team members and appropriate resources in other areas to resolve issues related to claims entry.

Identify trends and suggest and develop efficiencies in the review of edit reports and other documentation by reviewing procedures and making appropriate suggestions and adjustments to procedures.

Resolve complex claim payment inquiries by analyzing patient activity and related documentation (including enrollment, claims, and authorizations) and determine appropriate action to be taken.

Resolve complex client issues that may require research, analysis and working with management.

Complete requests for claims review and/or reprocess within internal guideline turnaround times.

Additional Responsibilities:

Develop and maintain client and provider relationships by interacting directly with the client and providing necessary feedback and communications as needed.

Provide training and guidance to team members on market specific issues by providing feedback to management on claims and provider issues, and updating client business rules and check run procedures as needed.

Partner with Reimbursements team in completing all other tasks as necessary to ensure accurate and timely check runs and internal turnaround times.

PHO only- Post received checks to the appropriate claims. Reconciling posted amount to amount received

PHO only- Prepare and submit billing date to insurance companies

PHO only – Participate in monthly meetings with client

What qualifications do YOU need to have to be GOOD candidate?

Required Level of Education, Licenses, and/or Certificates

High school diploma or equivalent

Required Level of Experience

2 years of prior job related experience (Dental Assistant, Dental/Medical Office Manager, Dental/Medical front office, or health/dental insurance, including managed care operations, accounts receivable and or billing)

Required Knowledge, Skills, and Abilities

Knowledge of health or dental procedures coding and terminology.

Basic knowledge of Microsoft software (Outlook, Excel and Word).

Exceptional written and verbal communication skills.

Competencies

Fostering Innovation: The ability to develop, sponsor, or support the introduction of new and improved method, products, procedures, or technologies.

Critical Thinking: The ability to analyze/evaluate information as presented, utilize past experience to make decisions that are logical and reasonable and demonstrate sound judgment.

Initiative: Identifying what needs to be done and doing it before being asked or before the situation requires it.

Results Orientation: The ability to focus on the desired result of one’s own or one’s unit’s work, setting challenging goals, focusing effort on the goals, and meeting or exceeding them.

Detail Oriented: Ensuring that one’s own and/or others’ work and information are complete, timely and accurate; carefully preparing for meetings and presentations; following up with others to ensure that agreements and commitments have been fulfilled.

Time Management: The ability to manage several competing tasks at once effectively while still meeting deadlines.

What qualifications do YOU need to have to be GREAT candidate?

Preferred Level of Education, License, and/or Certificates

Bachelor’s Degree in a related field

Preferred Level of Experience

Knowledge of vision claim processing

Preferred Knowledge, Skills, and Abilities

None

PHO Only: Knowledge of Enterprise Systems

Medical Claims

EDI Claim Submission

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.
Compensation Range:

$39,115.00 – $58,672.00
Compensation Midpoint:

$48,894.00

Quality Assurance Billing Specialist (Remote)

Brightree is a wholly owned subsidiary of ResMed (NYSE: RMD, ASX: RMD).

When you work at Brightree, it’s more than just a job. You’ll be part of a team that’s driving innovation and leading the way in cloud-based patient management software.

The technology allows us to provide the tools for better outcomes but at our heart, we’re really about people. We strive to positively impact our customers’ businesses and the lives of patients every single day.

Job purpose: Brightree by ResMed is a technology company. But Brightree is, at its heart, about people. We develop innovative, end-to-end technology solutions and services for people facing everyday challenges in the post-acute care industry. Brightree helps streamline processes, improve efficiency, and increase profitability. For over fifteen years, organizations big and small have put their trust in us— for our wide-ranging solutions, our leadership, and our unmatched customer service. Going to work each day and creating new ways to positively impact our customers’ businesses and the lives of patients is just what we do. Because Brightree is, after all, about people. Brightree’s Revenue Cycle Management team, located in Paddock Lake, WI, is always thinking, creating and challenging ourselves to better serve our patients and customers.

This position reports to the RCM Adjustment and Refund Team Lead and is responsible for the quality and achievement of revenue adjustment goals. We are looking for someone who is highly motivated,

passionate about customer service, with the ability to follow policies and procedures as directed by Medicare, Medicaid and private insurances. Our Quality Review Specialist will work together with

internal and external customers on the phone, via software applications and via email. If you are seeking a rewarding position in the rapidly expanding healthcare and technology solutions space our Quality

Review Specialist position in the RCM Adjustments Department is for you!

Key accountabilities and decision ownership:

Performs quality review and edits to assure adjustments, rebills and refunds are completed accurately and according to the procedures established
Makes procedure recommendations and updates procedure documents for optimal performance
Communicates and works with cross-functional departments to identify potential risks and solutions for performance improvement
Identifies potential deficiencies in processes via analysis and trends
Provides education and assists in implementation of procedure changes
Identifies training needs and reports to Team Lead
Assures SLA’s and quality of work thresholds are maintained
Drives change through collaboration, influence, and partnerships
Manages workload to complete assignments in a timely fashion
Skills, experience, technical/professional qualifications: Must have:

High school education required, Associate’s or Bachelor’s Degree a plus
Two years accounts receivable experience
Effective communication skills with strong oral, written and persuasive abilities to work with people at all levels in the organization, as well as for documenting notes in client systems
Exceptional organizational skills with a high-level of attention to detail and the ability to multitask within multiple client databases
Demonstrated ability to work independently and complete tasks in a timely manner
Strong computer proficiency with Microsoft Office and Databases Preferred:
Passionate about customer service
Excellent problem-solving skills focused on identifying and implementing solutions for internal and external customers
Strong ethics with a high-level of personal and professional integrity
Results driven self-starter who is highly motivated and able to troubleshoot challenges on the fly
Proven track record of working towards and exceeding metrics
Highly Preferred:

Background In DME
Brightree Software Experience
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.

Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills.

At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: $16.00 – 20.00 – 24.00 USD Hourly

For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills.

Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.

Measurement Incorporated Reader/Evaluator Positions Available!

To learn about the Reader/Evaluator position review the summary and requirements below. To apply, please click on this link: https://www.appone.com/MainInfoReq.asp?R_ID=5939911

Readers/Evaluators score student responses to English language arts, mathematics, science, and other test items. They are hired on a temporary, project-by-project basis. Most work occurs from March to June. All positions are remote/work from home.

Job Requirements:

  1. Proof of a bachelor’s degree (any field) from an accredited college or university or an equivalent foreign degree verified by an educational equivalency agency recognized by the National Association of Credential Evaluation Services.
  2. An operating system that meets Measurement Incorporated’s technical requirements: Check here. If your system does not meet our technical requirements, please do not apply.
  3. Live in one of these 29 states: AL, AR, DE, FL, GA, IA, ID, IN, KS, KY, LA, MI, MO, MS, MT, NE, NC, NH, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, and WV.
  4. DO NOT apply to this Reader/Evaluator position via Paycor. Your application will not be viewed or processed. You must apply using the link above. 

Quality Assurance Representative, Associate

Quality Assurance Representative, Associate

North American Bancard – Remote

Please note the work hours for this hourly position are 7:30 am-4:30 pm PST.

North American Bancard, and our family of companies, are committed to making it as easy as possible for businesses to grow through innovations in credit card processing, ecommerce, mobile payments and more. Our mission is to be the easiest payments company to do business with, bar none.

The Quality Assurance Representative, Associate in our Customer Boarding Department is responsible for reviewing the information of newly boarded customer accounts for accuracy, and identifying any inconsistencies in the company CRM that may need to be corrected. 

In this position, the Associate Quality Assurance Rep will also routinely field inbound calls from our Sales Teams.  These questions relate to pending applications from the Underwriting Team. 

What you’ll do:

  • Review newly approved merchant account details to ensure and maintain data iaccuracy within NAB systems, Global systems and/or First Data systems.
  • Verify that key data information is accurate in all systems matching the merchant application and faciliate corrections of inaccurate information directly or by communicating to senior team members.
  • Ability to learn and understand processing rates and fees, business types, and processing solutions so that key data information makes sense from a business perspective, and if it does not take the appropriate steps to question and change the information.
  • Daily support of the Customer Boarding call queue.
  • Provide ongoing collaboration with sales and underwriting teams.
  • Manage and organize productivity through the effective use of all available resources including database systems and query reports.
  • Provide positive customer experiences while maintaining a high degree of ethical behavior in all aspects of daily business.
  • Perform special projects as assigned.

Qualifications:

  • High School Diploma or G.E.D.
  • Relevant experience preferred
  • Strong attention to detail
  • Ability to communicate feedback, information, and directions both verbally and written
  • The ability to work with speed and accuracy
  • Excellent organizational skills, multi-tasking and prioritization in a fast-paced work environment
  • Strong customer service skills
  • Flexibility in work schedule to accommodate business needs
  • Ability to problem solve and de-escalate upset customers

What we offer:

We offer a comprehensive benefits package that enables our teams to live a life well lived, both personally and professionally. Some of our perks include:

  • Medical, Dental, & Vision Coverage
  • Flexible Paid Time Off
  • 401(k) + Match
  • Mental Health Support & Well-Being Program
  • Paid Maternity & Paternity Leave
  • Education Assistance
  • Company-funded Lifestyle Spending Account
     

Please note: North American Bancard is a US based company and no sponsorship is available for this position at this time.

Event and Social Media Manager

Description
Position at Liquid Web
Building on over 25 years of success, our Liquid Web Family of Brands delivers technology, services and support for thriving businesses and nonprofits running mission-critical websites, eCommerce stores and applications. We are looking to add a dynamic, creative Event and Social Media Manager to our dedicated team of marketing professionals.

The Social Media and Events Manager role is responsible for leading our company’s social media strategy and managing a range of marketing events. This role is a leadership position within the marketing team and requires creativity, attention to detail, and strong project management skills. This role is tasked with expanding our digital footprint and increasing brand awareness through effective social media management. Additionally, they will execute compelling events that align with our marketing objectives.

This is a permanent full-time remote position with a pay range of $70K to $85K USD annually.

Responsibilities:
Social Media Management:
Develop and implement an organic social media strategy.
Build and execute a social media strategy through competitive research, platform determination, benchmarking, messaging, and audience identification.
Generate, edit, publish, and share daily content that builds meaningful connections and encourages community members to take action.
Create shareable content appropriate for specific networks to spread our brand, content, and links.
Set up and optimize company pages within each platform to increase the visibility of the company’s social content.
Create editorial calendars and syndication schedules.
Collaborate with various teams to produce relevant content that meets the needs of key stakeholders and our audience.
Continuously improve by capturing and analyzing social data/metrics, insights, and best practices.
Manage Reputation Management platforms, focusing on increasing positive external posts and reviews.
Event Management:
Research and identify event opportunities relevant to our brand and marketing goals.
Create and manage the event calendar, ensuring successful planning and execution.
Coordinate across departments for event success and handle logistical aspects.
Negotiate sponsorship packages with event coordinators.
Track event metrics and report regularly on ROI.
Execute and manage overall communications related to events.

Skills, Competencies, and Qualifications:

BS or BA degree in marketing, communications, business administration, public relations or related field, or equivalent experience
5+ years of experience in marketing with a focus on social media and event management.
Demonstrable social media experience and social analytics tools knowledge
Knowledge of digital marketing and good understanding of major marketing channels
Experienced at creating content for the web across various disciplines and media types
Strong writing, editing, proofreading skills – Eye for detail and creative development
Excellent project management skills
Ability to travel for events as needed.
Strong interpersonal skills
Self-starter, independent and goal minded, eager to create and achieve activity and revenue goals.
Excellent organizational skills, can work independently and manage projects with many moving parts

We Offer:

Excellent Employer paid Benefits options – Medical, Dental, Vision, Prescription

Traditional and Roth 401k with company matching

Fun employer-sponsored events

A collaborative team culture

Consistent/set work hours

Challenging non-redundant daily duties

A voice in how things get done

Access to ongoing training

Disclaimer:

This job description is only a summary of the typical functions of the position. It is not intended to be an exhaustive or comprehensive list of all job responsibilities, tasks, or duties. Additional duties and tasks may be assigned as part of the job function. Liquid Web Inc. reserves the right to modify, interpret, or apply this job description in a way that best supports the organizational needs. The job description in no way creates or implies an employment contract. The employment contract remains “at will”.

Equal Employment Opportunity Policy: Liquid Web is committed to offering equal employment opportunity without regard to age, color, disability, gender, gender identity, genetic information, marital status, military status, national origin, race, religion, sexual orientation, veteran status, or any other legally protected characteristic.

Health Information Specialist I (REMOTE)

Overview
Who we are…

Datavant protects, connects, and delivers the world’s health data to power better decisions and advance human health. We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.

What we offer…

By joining Datavant today, you’re stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We hire for three traits: we want people who are smart, nice, and get things done. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs.

What we need…

This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Position Highlights

Fully remote position processing medical records
Full-time, Monday – Friday, 8:00am – 5:00pm MST
Full benefits: PTO, Health, Vision, Dental, 401k savings plan, and tuition assistance
Company equipment provided to you (computer, monitor, virtual phone, etc.)
Tremendous growth opportunities both locally and nationwide

What We’re Looking For

Strong customer service and clerical skills
Proficient in Microsoft Office, including Word and Excel
Comfortable working in a high-volume production environment
Medical office experience preferred
Willingness to learn and grow within Datavant
Responsibilities
What You Will Do…

Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
Maintain confidentiality and security with all privileged information.
Maintain working knowledge of Company and facility software.
Adhere to the Company’s and Customer facilities Code of Conduct and policies.
Inform manager of work, site difficulties, and/or fluctuating volumes.
Assist with additional work duties or responsibilities as evident or required.
Consistent application of medical privacy regulations to guard against unauthorized disclosure.
Responsible for managing patient health records.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
Answering of inbound/outbound calls.
May assist with patient walk-ins.
May assist with administrative duties such as handling faxes, opening mail, and data entry.
Must meet productivity expectations as outlined at specific site.
May schedules pick-ups.
Other duties as assigned.
Qualifications
What Helps You Stand Out…

Required

High School Diploma or GED.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
Basic computer proficiency.
Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
Professional verbal and written communication skills in the English language.
Detail and quality oriented as it relates to accurate and compliant information for medical records.
Strong data entry skills.
Must be able to work with minimum supervision responding to changing priorities and role needs.
Ability to organize and manage multiple tasks.
Able to respond to requests in a fast-paced environment.
Preferred

Experience in a healthcare environment.
Previous production/metric-based work experience.
In-person customer service experience.
Ability to build relationships with on-site clients and customers.
Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.

Working conditions & physical demands

Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to stand and sit frequently throughout an eight-hour period, reach horizontally and vertically for overhead use. Must be able to use a telephone or headset equipment. Incumbent must be able to lift 20 lbs., perform work at a computer terminal for 6-8 hours a day, and function in an environment with constant interruptions. Reasonable accommodations are available to qualified individuals with disabilities. Low to no travel required.

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.

With very limited exceptions (medical conditions or sincerely held religious beliefs that prohibit you from getting the vaccine), one of the requirements for this job is that you be fully vaccinated against COVID-19.

*Except for states where legally prohibited to enforce mandates.

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Conditional Payment Specialist

Overview
Are you someone who enjoys examining information and collecting all of the facts? This position may just be what you are looking for!

The Conditional Payment Specialistresponsible evaluating Medicare conditional payment letters and working with clients and Medicare to effectuate a successful dispute or appeal. This position ensures all services are completed with highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates. The Conditional Payment Specialist is also responsible for maintaining communication with the sales team to ensure proper communication with the client.

This is a remote full time position with a standard work schedule Monday-Friday, 8am-5pm. It may be necessary to work overtime depending on business needs.

Read on and apply today. We can’t wait to meet you!

Responsibilities
Evaluate Medicare conditional payment letters, notices and demands to determine the appropriate
course of action and provide claims-appropriate recommendations to clients.
Work with ECS sales team and client / claims handler to obtain all necessary information in order to
successfully perform appeal or dispute.
Triage conditional payment correspondence upon receipt.
Create clear, concise and articulate disputes and / or appeals on behalf of ECS clients.
Appropriate documentation of all system notes and e-mails.
Working with Team Manager to ensure client correspondence is logical and up to date.
Assist with addressing issues and solving problems as needed.
Regularly communicates with management and provides support as needed.
Perform quality assurance as needed.
Perform introductory training to new employees and ongoing training to staff in the conditional
payment department as needed.
Qualifications
Minimum 1-3 years of administrative clerical experience.
Must have strong knowledge of multiple software programs, including but not limited to
Microsoft Word, Outlook, Excel, and the Internet.
Must demonstrate exceptional communication skills by conveying necessary information
accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must possess the ability to manage change, delays, or unexpected events appropriately.
Medicare experience a plus
About Us:

ECS was formed in 2014 from the acquisition and consolidation of two pillars within the Medicare Secondary Payer (MSP) compliance industry: Gould & Lamb, providers of MSP compliance and reporting services, and MedAllocators/Ability Services Network, a national provider of MSP compliance and case management. Launched as Examworks Clinical Solutions, the new company offered unprecedented, integrated services aimed at managing high dollar complex Medicare, medical, and pharmaceutical claims. In May 2020, the organization name was changed to ExamWorks Compliance Solutions. A single word change, but one that truly reflects the core of what is offered by ECS. Today, our mission remains focused on providing the most comprehensive, creative, and customizable compliance and
reporting solutions for the marketplace.

ECS is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

Equal Opportunity Employer – Minorities/Females/Disabled/Veterans

ExamWorks Compliance Solutions offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Quality Assurance Coordinator (100% Remote)

Overview
Are you an MA (Medical Assistant) looking to step away from a medical office and into a remote position?

If you answered yes, then this might be the job for you because ExamWorks is looking for a Quality Assurance Coordinator for our team. You will be responsible for reading medical reports ensuring accuracy by searching for any errors in grammar, medical terminology, and content before sending to our clients.

This position is 100% remote. Candidate must be available to work Monday through Friday 8:30am-5:00pm CT.

Want to join an employee-first company with great benefits and growth opportunities? If you think this aligns with what you desire in your next career move, apply at this very moment!

Responsibilities
Performs quality assurance review of medical reports, correspondences, addendums or supplemental reviews.
Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
Ensures the provider credentials and signature are adhered to the final report.
Identifies any inconsistencies within the report and contacts the Provider to obtain clarification, modification or correction as needed.
Assists in resolution of customer complaints and quality assurance issues as needed.
Ensures all federal ERISA and/or state mandates are adhered to at all times.
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
Promote effective and efficient utilization of company resources.
Participate in various educational and or training activities as required.
Perform other duties as assigned.
Qualifications
High school diploma or equivalent required.
Two years of medical office experience.
Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
Qualified typist with a minimum of 40 W.P.M preferred
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must possess excellent skills in English usage, grammar, punctuation and style.
Ability to follow instructions and respond to upper managements’ directions accurately.
Demonstrates accuracy and thoroughness.
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
Must be able to stay focused and concentrate under normal or heavy distractions.
Must be able to work well under pressure and or stressful conditions.
Must possess the ability to manage change, delays, or unexpected events appropriately.
Demonstrates reliability and abides by the company attendance policy.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers’ compensation insurance coverages.

ExamWorks, LLC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Clinical Quality Assurance Coordinator (LPN/LVN)

Overview
Calling all LPN/LVN’s from Across the U.S.

Are you looking for a position that is challenging, will keep your clinical skills sharp, but doing so from the comfort of home?

ExamWorks is seeking a self-motivated, high-performing registered nurse (RN) to join our team.

The Clinical Quality Assurance Coordinator is responsible for ensuring Peer Review case reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates.

The position is 100% remote and the schedule will be Monday-Friday. You can start your day anytime between 7:00-9:00am CT and end between 3:30pm-5:30pm. (Training will be 7:30am-4:00pm CT, Monday-Friday).

Are you motivated, energetic, and excited to become part of the ExamWorks team? If so, you might be our next new team member!

Responsibilities
Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
Ensures the provider credentials and signature are adhered to the final report.
Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.
Assists in resolution of customer complaints and quality assurance issues as needed.
Ensures all federal ERISA and/or state mandates are adhered to at all times.
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
Promote effective and efficient utilization of company resources.
Participate in various educational and or training activities as required.
Perform other duties as assigned.

Qualifications
High school diploma or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience. Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers’ compensation, no-fault, liability, and/or disability.

Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
Must be a qualified typist with a minimum of 40 W.P.M
Must be able to operate a general computer, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must possess excellent skills in English usage, grammar, punctuation and style.
Ability to follow instructions and respond to upper managements’ directions accurately.
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers’ compensation insurance coverages.

ExamWorks offers a fast-paced team atmosphere with competitive benefits, paid time off, and 401k.

ExamWorks, LLC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

Equal Opportunity Employer – Minorities/Females/Disabled/Veterans

Medicare File Coordinator

Overview
ExamWorks Compliance Solutions is seeking a detail-oriented individual to join the team as a Medicare File Coordinator.

The Medicare File Coordinator is responsible to ensure information is entered correctly and to the highest quality and integrity and is in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist customer service team and provide overall support to the Customer Service Department

This is a remote full time position with a standard work schedule Monday-Friday, 8am-5pm (must be able to work Eastern time zone).

Responsibilities
Performs quality assurance reviews of information, correspondences and files
Ensures all cases contain the correct information for the examination process
Audits files to ensure that all client instructions and specifications have been followed
Completes and ensures all examination fees are quoted daily and are in accordance with company practices
Ensures that the appropriate board specialty has received the case in compliance with client specifications and/or state mandates and is documented accurately
Assists with data entry of billing information
When necessary, notifies management of any case issue or concerns requiring management’s attention
Ensures all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations
Calls for invoices from physicians
Assists with mail as needed
Assists with the scanning of documents

Qualifications
High school diploma or equivalent required
A minimum of two years clinical or related field experience; or equivalent combination of education and experience required
Medicare knowledge or experience a PLUS
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet
Must possess excellent skills in English usage, grammar, punctuation and style
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed
Must be able to maintain confidentiality
Must be able to demonstrate and promote a positive team -oriented environment

Assistant File Coordinator

Overview
ExamWorks Compliance Solutions is seeking a detail-oriented individual to join the team as an Assistant File Coordinator.

The Assistant File Coordinator is responsible for processing incoming mail & distributing to the appropriate File Coordinator, retrieving Rated Ages, entering data for claim specific information, communicating with clients as needed, distributing reports to clients as needed and assisting with billing.

This is a remote full time position with a standard work schedule Monday-Friday, 8am-5pm (must be able to work Eastern time zone).

Responsibilities
Dropping rated ages in files.
Assist the File Coordinators with mailing out hard copies of the invoices and reports when needed.
Appropriately document the operating system (Galileo) with all notes and emails pertaining to the file.
Process incoming parcel mail for the File Coordination department.
Upload files into Caseworks for all MedInsights files.
Transfer files from the prior operating system (ProLaw) to the current operating system (Galileo).
Abide by all rules of the company such as safety, confidentiality and organizational directives.
Maintains confidentiality of all personal and financial information at all times and in accordance with HIPAA regulations.
Perform other duties as assigned by the Lead File Coordinator, Supervisor and/or Manager.
Qualifications
High school diploma or equivalent required
A minimum of two years clinical or related field experience; or equivalent combination of education and experience required
Medicare knowledge or experience a PLUS
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet
Must possess excellent skills in English usage, grammar, punctuation and style
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed
Must be able to maintain confidentiality
Must be able to demonstrate and promote a positive team -oriented environment

Remote Internet Search Quality Rater – English (United States)

OVERVIEW

Welocalize is seeking Englishspeakers to help support our client’s project as an internet Search Quality Rater. In this remote position, you will answer different types of theoretical questions with true/false answers. There are also simple quality tasks that are more true/false queries, as well as needs met tasks that you rate on a sliding scale.

Please click here for a short demo of these types of tasks: What Does a Search Quality Rater Do? (youtube.com)

The main goal for this project is to develop and augment AI data.

In this position, you will be able to set your own schedule to accomplish the weekly goals. However, you’ll only be able to receive support from the project management team during business hours (Monday-Friday, 9:00 AM – 5:30 PM Pacific)

Project Details

Job Title: Search Quality Rater

Location: Remote, US-based

Hours: Minimum 10 hours per week, up to 29 hours per week; set your own schedule

Start date: ASAP

Employment Type: W2 Part-Time Employee, payment every 2 weeks

Longevity of project: 12 months with possibility of extension.

This work is based on project needs. Weekly hours may vary.

Benefits:

Paid Sick Time

Employee Assistance Program 

Following eligibility requirements: 

Medical Insurance

Dental Insurance

Vision Insurance

HSA

Voluntary Life Insurance

Accident, Critical Illness,Hospital Indemnity Insurance

401(k) Retirement Plan

PLEASE NOTE: We are currently hiring in Arizona, Connecticut, Florida, Georgia, Illinois (but NOT Chicago), Maine, Maryland, Minnesota, New Jersey, New Mexico, Ohio, Pennsylvania, Texas, Virginia, Wisconsin, California, New York, and Oregon.

Requirements

  • Fluency in English
  • Strong understanding of popular culture in the United States
  • Must be dedicated only to “Search Quality rating program” and NOT other search or ads rating programs
  • Must not have current or previous experience with “Ads quality rating”
  • Web-savvy and able to work in a fast-paced environment
  • Excellent online research skills
  • Reliable computer system and internet connection
  • Reliable anti-virus software (as you will be surfing the web as part of the work)
  • Ability to follow instructions in English and comply with the project conventions and rules expected by the client
  • Must sign a Non-Disclosure Agreement to protect client confidentiality
  • Must pass learning modules and a required quality test designed by our client before starting work

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.  In addition, we employ anti-fraud checks to ensure all candidates meet the requirements of the program.

If you are currently working or have previous experience as an “Ads Quality Rater”, unfortunately, you will not be able to work on our Search Quality Rating project.

Case Entry Specialist

About CorroHealth:

At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

JOB SUMMARY:

Job Description & Responsibility

Transcribe information from clients’ EMRs into required electronic format; check completed work for accuracy
Monitor shared inboxes and internal request dashboards
Receive and document incoming emails, calls, tickets, or voicemails
Follow up with the client or internal staff via email or phone for additional information as requested
Export and upload documents within CorroHealth proprietary system
Cross-trained on various functions within the department to support other teams as needed
Other responsibilities as requested by management
Equipment provided to do the job from your home office with a secure internet connection
Skills Required

Detailed oriented
Proactive and self-directed
Shows initiative and responsibility in taking the necessary steps towards problem resolution
Meets or exceeds both quality expectations
Works independently but also a team player
Extremely organized and action-oriented
Excellent critical thinking skills
Demonstrates strict adherence to HIPAA/HITECH compliance
Education/Experience

High School Diploma or equivalent required
Bachelor’s degree preferred
Prior knowledge of accessing hospital EMR’s preferred
Experience working with Salesforce, a plus
Proficient in relevant computer applications such as Outlook, MS Teams, Internet Search Engines, and accurate keyboard skills
Ability to maneuver between multiple screens
Physical Requirements:

May be expected to sit at a desk for long hours. Must have a private and secure space to work, including a secure Internet connection. Repetitive movement of hands and fingers – typing and/or writing. Occasional standing, walking, stooping, kneeling, or crouching. Ability to reach with hands and arms, talk, and hear. Exert up to 20 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.
Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Advanced Coders – AI Training (Remote Work, Contract)

Please Note: This is a contract opportunity.

We don’t sponsor work visas as part of this role.

We are seeking experienced software engineers and coders to be part of the artificial intelligence (AI) revolution.

If you are an experienced software engineer, computer scientist, programmer, or just great at solving coding challenges (Codeforces, Sphere Online Judge, Leetcode, etc.), this may be the perfect opportunity for you.

Join our team in training AI models to excel at coding generation! We’re seeking talented software engineers to work remotely on exciting projects. As part of this opportunity, you’ll contribute to training generative artificial intelligence models, helping them become proficient coders and building the next generation of coding tools.

Responsibilities

We have partnered with organizations to train AI large language models, helping cutting-edge generative AI models write better code. Projects typically include discrete, highly variable problems that involve engaging with these models as they learn to code.

Example projects might include:

Evaluating the quality of AI-generated code, including human-readable summaries of your rationale
Solve coding problems, writing functional and efficient code
Writing robust test cases to confirm code works efficiently and effectively
No previous experience with AI necessary! You will receive detailed instructions on what is expected of you after you complete the application and verification process.

Qualifications:

Required qualifications:

3+ years of experience in a software engineering / software development role
Complete fluency in the English language
Ability to articulate complex scientific concepts in a clear and engaging manner
Excellent attention to detail and ability to maintain consistency in writing
Solid understanding of grammar, punctuation, and style guidelines
Proficiency working with one or more of the the following languages:
Java, Python, JavaScript / TypeScript, C++
Preferred qualifications:

Bachelor’s and/or Master’s degree in Computer Science
Proficiency working with one or more of the the following (in addition to the languages above):
SQL, Swift, Ruby, Rust, Go, NET, Matlab, PHP, HTML, DART, R, Apex, and Shell, C, C#
Recognized accomplishments or contributions to the coding community or in projects.
Proven analytical skills with an ability to approach problems creatively.
Adept communication skills, especially when it comes to understanding and discussing project requirements.
A commitment to continuous learning, staying updated with the latest in coding advancements and best practices.
Enthusiasm for teaching AI models and experience with technical writing!
Why work on Remotasks?

Cutting-Edge Projects: Work on challenging projects that push the boundaries of AI coding abilities
Flexibility: Set your own hours and work remotely from anywhere
Weekly payouts: Get paid conveniently on a weekly basis
Collaborative environment: Join a team of talented professionals who share your passion for AI and programming
Pay: $25 – $55 per hour

Customer Experience Associate

Rocket Money’s mission is to empower people to live their best financial lives. Rocket Money offers members a unique understanding of their finances and a suite of valuable services that save them time and money – ultimately giving them a leg up on their financial journey.

We’re currently looking for a full-time Customer Experience Associate who shares this mission and wants to contribute to our support team as we continue to grow.

ABOUT THE ROLE 🤹‍♀️

Use an online chat platform to talk with Rocket Money’s members.
You’ll provide excellent customer service, answer questions about the app, assist members with their accounts, and solve general issues.
Provide resources and guide members on how to maximize their Premium Memberships.
Escalate technical issues to the engineering team and communicate solutions to members.
Draft support articles and assist with creating member tutorials.
Use the Rocket Money app regularly and provide detailed feedback to the product team on beta features.
Other duties as assigned by supervisor.
Only short-listed candidates will be contacted for an interview.

ABOUT YOU 🦄

You have an interest in personal finance and a desire to see others succeed in managing their money.
Great Communication — Your writing is impressive and you love talking with people!
Empathetic — You’re able to relate to and validate our member’s experiences and find meaningful solutions to make the situation better.
Proactive Problem Solving — you’re able to identify possible issues and potential resolutions.
Workflow Management — You know how to efficiently balance multiple competing priorities.
Taking Initiative — You’re willing to jump in and help wherever help is needed. You love to learn and are constantly looking to improve.
Self-Motivation — You’re committed to improving professionally and personally. You love to push yourself to the limits of your ability.
Customer service experience in a B2C tech company is a plus!

WE OFFER 💫

Health, Dental & Vision Plans
Competitive Pay
Matching 401k
Unlimited PTO
Lunch daily
Snacks & Coffee
Commuter benefits

Additional information: Salary range of $20 – $24/hour + bonus + benefits. Base pay offered may vary depending on job-related knowledge, skills, and experience.

Quality Reviewer 

STATEMENT We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
DESCRIPTION
Quality Reviewer
Insurance Inspection Underwriting
Full-time opportunities available

Millennium Information Services is growing! We are a leading national provider of property inspection services and innovative process management solutions for property and casualty insurance companies.

Opportunity:

We are looking for detail-oriented individuals to review and process exterior & interior residential property inspections on either a full or part-time basis. This is a work from home position requiring a Windows computer and high-speed internet. Training will be done by webinar.

We offer $14.00 per hour depending on experience. Experience working in the property insurance industry preferred, however we will train.
Description:

The Quality Reviewers primary focus is to review photographs and inspector reports to verify property condition, building type and materials, the homes footprint, and any visible hazards before submitting the completed inspection to the client.

POSITION REQUIREMENTS
Skills:

Strong attention to detail
Excellent written communication skills
Intermediate PC skills
Basic understanding of building types & materials
IT Requirements:

Computer with:

8GB or RAM
256GB of Storage
1680×1050 monitor
Recommended: Second monitor

Windows 10 or higher
High Speed Internet
Basic Browsers that are compatible: Chrome, Edge, Firefox, Safari

Research Assistant I

Position Summary

The JFK School of Psychology and Social Sciences (JFKSOPSS) at National University seeks applications for a part-time research support assistant position. This is a temporary position funded on a NU internal grant provided by the Faculty Research Support Award (FRSA) and/or the Templeton Foundation Grant. The research support assistant will be responsible, in collaboration with and under the oversight of the Principal Investigator (PI) on the grant, for identifying and completing all tasks that lead to the project’s success.

The part-time research support assistant will serve as a support assistant to the PI and research assistant in tasks related to the success of the project. The candidate will collaborate with the PI and other team members to identify tasks and strategize operations to achieve successful completion in a timely manner. The part-time research support assistant will provide intellectual support to the functioning of the grant project, but ultimately follow the decisions of the PI and/or team. The candidate will work autonomously for substantial lengths of time.

Essential Functions:

Transcript and Code Qualitative Data.
Contribute intellectually to project processes and outcomes.
Assist with literature review for research / publishable documents along with other documentation and paperwork as needed.
Implement project tasks including data collection (e.g., surveys and interviews), transcribe and edit, analyze, and store participant data.
Other duties as assigned.
Supervisory Responsibilities: N/A

Requirements:

Education & Experience:

Bachelor’s degree preferred in cognitive science, psychology, biology, or related fields.
Experience with the methods of experimental psychology and mixed methodological research approaches preferred but not required.
Experience working in a technology-driven enterprise preferred.
All skills, abilities, and education will be considered for minimum qualifications.
Competencies/Technical/Functional Skills:

Skills in Qualitative and Quantitative Data Analysis using NVivo, SPSS, or other data analysis software.
Transcription Skills.
Skills in verbal and written communication.
Critical-thinking and decision-making.
Excellent organizational and communication skills, with a proven ability to provide timely, accurate information on a variety of academically oriented subjects to both internal and external constituents.
Experience in healthcare settings preferred.
Ability to participate as an active team member of the team and organization and work toward a common goal. Contributes fully to the team effort and plays an integral part in the smooth running of teams without necessarily taking the lead.
Accepts personal accountability, proactively seeks resolution for personal limitations head-on; and supports honesty and respect towards others, the company and oneself.
Actively seeks to influence, build effective relationships, and gain alignment with peers, functional partners, and/or external partners to accomplish business objectives.
Develops new insights into situations; questions conventional approaches; encourages new ideas and innovations; designs and implements new or cutting-edge programs/processes. Ability to generate and/or recognize imaginative or creative solutions that generate successful outcomes.
Ability to drive towards achieving measurable and challenging goals to support organizational success. Demonstrates the ability to focus on achieving results consistent with the organization’s objectives. As a leader, develops goals based on the organization’s vision, mission, strategic goals, and objectives.
Strong interpersonal skills and the ability to effectively communicate with a wide range of individuals of constituencies in a diverse community.
Work independently and foster a cooperative spirit within a large and/or small team of diverse cultures, while working in a fast-paced environment with multiple deadlines and frequently changing priorities.
Intermediate use of computers and Microsoft Office Suite Applications such as Word, Excel, Power Point, Outlook. Experience using Student Information System (SIS) such as SOAR/Peoplesoft systems.
Location: Remote

Travel: Travel required as necessary (e.g., conference presentations).

Candidate receiving offers will be offered a salary/pay rate commensurate with experience that vary based on a candidate’s qualifications, skills, and competencies. Absent exceptional circumstances, candidates will be offered a salary within this range for this position. The minimum salary will be offered based on the minimum exemption threshold based on state of residency. Base pay is one component of National University’s total rewards package, as we are dedicated to supporting the needs of the “whole you” with our holistic approach to employee benefits by offering comprehensive well-being benefits for you and your family. For full details about our benefit plan offerings, please visit benefits.nu.edu. For Part-time benefits, please click here.

Compensation Range:

: $16.00 – $16.00
National University is committed to maintaining a high-quality, diverse workforce representative of the populations we serve. National University employs more than 5,000 faculty and staff and serves over 41,000 students. We are united in our mission to meet the global education demands of the 21st Century and are dedicated to creating a supportive academic and work environment that allows students, faculty and staff to develop their interests and talents while experiencing a sense of community and a commitment to diversity. With programs available both online and at our many campus locations, National University is a leader in creating innovative solutions to education and meeting the needs of our diverse student population, including adult learners and working professionals.

National University offers an opportunity to work in an innovative environment that supports diversity.

National University (NU) is proud to be an equal opportunity employer and does not unlawfully discriminate against any employee or applicant for employee per applicable federal, state and local laws. At NU, a diverse mix of highly talented, innovative and creative people come together to make the impact of a lifetime for each of our student learners. All qualified applicants will receive equal consideration for employment, education, and admission at National University. We are focused on equality and believe deeply in diversity of race, color, ancestry, age, family care status, veteran status, marital status, creed, religion, sex, gender, sexual orientation, religion, ethnicity, national origin, and other legally protected group status.

Processing Specialist I

Position Summary

The Processing Specialist is responsible for many of the background processes supporting the Student Financial Services team. Processes include, but are not limited to, packaging financial aid, reviewing and approving disbursements, processing R2T4s, verification, and determining credit balances. Also ensures that the university is in compliance with all applicable federal/state statutes and regulations.

Essential Functions:

Maintain all tasks/responsibilities set by the leadership team.
Ensure daily communication with the Department of Education systems, including importing and exporting Title IV aid data.
Perform financial aid packaging.
Review and approve federal aid, state grant, scholarship, and Title IV disbursements.
Review and process credit balances.
Timely and accurately review and process verification, c-codes, conflicting information, and professional judgment.
Process R2T4s, ensuring timely and accurate completion.
Review and process adjustments as a result of quality assurance review outcomes.
Process state and proration calculations.
Utilizes departmental KPIs and individual metrics, which are measured for successful completion, when processing.
Performs functions utilizing regulatory knowledge and in alignment with federal regulatory expectations.
Participate in ongoing department projects, or other special projects, as needed.
Reasonable and consistent attendance to fulfill requirements of the position.
Other duties as assigned.
Supervisory Responsibilities: N/A

Requirements:

Education & Experience:

Bachelor’s degree preferred.
Minimum of one (1) year of financial aid, accounting, finance, or related experience required.
Experience with data processing and automated records maintenance systems preferred.
Experience with online delivery of education preferred.
Experience with non-term semesters preferred.
Experience in higher education preferred.
Experience working in a technology-driven enterprise preferred.
All skills, abilities and education will be considered for minimum qualifications.
Competencies/Technical/Functional Skills:

Knowledge of available private, state, and federal financial aid programs and regulations.
Knowledge of academic and business practices in an online environment.
Knowledge of University policies and procedures, including policy updates.
Knowledge of financial aid software or agility within financial aid technical systems
Ability to multi-task, prioritize, and problem-solve.
Ability to use and facilitate online communication using email and/or other technology-based communication media.
Skill in oral and written communication.
Ability to maintain confidentiality.
Ability to prepare letters, reports, and business correspondence.
Must be able to consistently display the highest level of integrity.
Highly organized and detail oriented.
Ability to work well in teams, while contributing to positive and productive team atmosphere, working conditions, etc.
Skill in utilizing technology, including ability to navigate web sites, perform word processing, create spreadsheets, send e-mail and electronic messages.
Strong understanding of the University mission, vision, values, goals, and strategies.
Proficient with Microsoft Word and other applications in the Microsoft Office suite.
Location: Remote

Travel: No Travel Required

LI-TA1

Candidate receiving offers will be offered a salary/pay rate commensurate with experience that vary based on a candidate’s qualifications, skills, and competencies. Absent exceptional circumstances, candidates will be offered a salary within this range for this position. The minimum salary will be offered based on the minimum exemption threshold based on state of residency. Base pay is one component of National University’s total rewards package, as we are dedicated to supporting the needs of the “whole you” with our holistic approach to employee benefits by offering comprehensive well-being benefits for you and your family. For full details about our benefit plan offerings, please visit benefits.nu.edu. For Part-time benefits, please click here.

Compensation Range:

Hourly: $20.00 – $23.00
National University is committed to maintaining a high-quality, diverse workforce representative of the populations we serve. National University employs more than 5,000 faculty and staff and serves over 41,000 students. We are united in our mission to meet the global education demands of the 21st Century and are dedicated to creating a supportive academic and work environment that allows students, faculty and staff to develop their interests and talents while experiencing a sense of community and a commitment to diversity. With programs available both online and at our many campus locations, National University is a leader in creating innovative solutions to education and meeting the needs of our diverse student population, including adult learners and working professionals.

National University offers an opportunity to work in an innovative environment that supports diversity.

Part-Time, Writer, Video Games Trends, Inverse

Bustle Digital Group (“BDG”) is seeking a Part Time Writer, Video Games Trends to join the Inverse team. The writer will report out the trends that are shaping the art, business, and culture of video games. They will also contribute to Inverse’s daily gaming coverage, including news, previews, reviews, interviews, anniversary retrospectives, and guides.

The ideal candidate has established relationships with video game studios and PR reps, and values inclusive, approachable writing. They have prior experience writing gaming news, guides, interviews, and reviews. They are not half-hearted in their opinions and can write with equal passion and rigor about the intricacies of Final Fantasy and Indiana Jones lore, as well as broader industry phenomena like accessibility, representation, and consolidation. They are happy to cover the biggest games on the market while also shining a light on underrated titles. And they are excited to interview the people who make their favorite games and pursue original reporting that drives the news cycle. (It also doesn’t hurt if you’re a huge Final Fantasy fan.)

At Inverse, we believe games are for everyone. If you feel you have a unique perspective, expertise, or obsession to share with a wider audience, we’d love to hear from you.

This is a remote and part-time job with the flexibility to work up to 28 hours a week.

Example links:
https://www.inverse.com/gaming/baldurs-gate-3-chapter-1-checklist
https://www.inverse.com/gaming/assassins-creed-mirage-review-pc
https://www.inverse.com/gaming/final-fantasy-xi-log-in-process-sucks-man
https://www.inverse.com/gaming/terra-nil-nintendo-switch-game-recommendation
https://www.inverse.com/gaming/gamestop-nft-marketplace-closed

Note: Please submit a cover letter with your application outlining why you’re the right person for this job and the games you’d be most excited to cover in 2024.

This is a position covered under a collective bargaining agreement between BDG Media, Inc. and the Writers Guild of America East.
Key Accountabilities:
File two stories every working day
Contribute to collaborative projects and section-wide initiatives (Final Fantasy Week, Luminaries, The Inverse Awards)
Write regular video game reviews and Inverse Recommends articles
Learn Inverse’s house style and possess excellent grammar
Know how to spin an anecdotal or personal lede into compelling and clear nut graf
Follow Inverse CMS best practices
File accurate stories, leaning on primary sources and original reporting
Candidate Profile:
2 years experience writing news, reviews, interviews and guides about games and gaming culture
Able to tackle assigned stories and eager to pitch original stories with strong angles
Substantial experience covering a specific fandom, series or beat, for example: Call of Duty, Final Fantasy, Nintendo, accessibility, representation, the fighting game community, etc.
Attend a daily pitch meeting at 10 am ET and be available during East Coast working hours
$29.81 – $30.03 an hour

Engagement Moderation (3698)

ModSquad has partnered with multiple top-tier brands/clients across the globe and we need the best of the best in Moderation!

Do you have an Engagement Moderation background?
Do you enjoy work-from-home and flexible schedules?
ModSquad is seeking Mod Contractors to join our network!

If you want the chance to work gigs on the coolest of client projects…then ModSquad is the place for you!! Our clients are strictly Top Tier whose product offerings and services are hip, contemporary, and very current. You will instantly know who they are and very likely use them yourselves. Their customers expect the best service and support and that’s where we come in.

Our Mods bring super skills, a positive attitude, and a great vibe to project work every day. Mods assist and guide customers to the right answers, solve concerns and are the GPS for customers to understand and optimize the best use of a client’s product or services. Project gigs are available now and more are on the horizon.

As a ModSquad Social Media Engagement Moderator, you will provide social media engagement on Twitter, Facebook, and Instagram, as well as the game Forums. This will also include some minor moderation on Discord, but the focus will be on engagement.

Project Hours (All Times Pacific):
24/7

Hourly Rate:
To be discussed in the interview phase

Commitment:
10 hours per week
90 days (as needed)

Language:
English
What We Are Looking For:
Be a professional-level English speaker.
Social Media experience is a plus!
Must be able to write custom responses using proper grammar and spelling.
Be communicative with Management and team members while on shift.
A love of games and an understanding of gaming forums are a huge plus!
WorkSpace Requirements:
Dedicated laptop or desktop computer with Windows 10 or above
Willingness to install MSQ security software and 2FA app on the phone
What’s In It For You:
The potential to work with some of the coolest clients around the world like the NFL, Vimeo, and Topps!
Flexible self-scheduling
Access to ‘Hot Gigs’ postings exclusive to the Mod Network
Work from home
Competitive hourly rate – Discussed during your first interview
Paid orientation
PRO TIP: Take your time and make sure you do a thorough job in completing your application. Your responses should be grammatically correct and comprehensive. This will greatly increase the probability of scoring an interview!

Please note: A Chromebook is not sufficient for ModSquad projects.

ModSquad is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), gender, national origin, ancestry, age, physical or mental disability, military status, status as a veteran or disabled veteran, sexual orientation, gender identity or expression, marital or family status, genetic information, medical condition, or any other basis protected by applicable federal, state, or local law, ordinance, or regulation.

Individual base pay depends on various factors, in addition to primary work location, such as complexity and responsibility of role, job or contract duties/requirements, and relevant experience and skills.

***Pay rates vary by client and are not negotiable. Rates will be disclosed during the interview process

Payer Enrollment Specialist

Brightside Health delivers life-saving virtual mental healthcare to everyone who needs it. We are powered by proprietary AI, purpose-built technology, a world-class clinician network, and a care model that rivals the best of in-person treatment. When combined with precision psychiatry and leading-edge therapeutic techniques, we’re able to improve outcomes for those with mild-to-severe clinical depression, anxiety, and other mood disorders.

We take an action-oriented, purposeful approach with everything we do and seek out team members who value collaboration and thoughtful prioritization. As a result, our organization is looking for the brightest and most innovative talent in the industry. We can promise you that, as a member of the Brightside team, you’ll have the opportunity to collaborate alongside smart and driven people while growing your professional skills.

We are looking for an experienced Payer Enrollment Specialist to join our expanding credentialing team, reporting directly to the Senior Manager, Credentialing and Enrollment. In this role, you will be responsible for enrolling all clinicians in contracted health plans including Medicare and Medicaid. You will partner closely with our commercial team and external payers. Ultimately, this role will be responsible for accurately and timely enroll clinicians in health plans across the US. Continuous and persistent follow-up with payers for statuses is important all while building effective relationships with contacts.

What you’ll be doing as a Payer Enrollment Specialist:

Initiate online and paper group and individual enrollment application submissions for new and existing contracted commercial payers including Medicare and Medicaid.

Follow-up on submitted enrollment applications to completion, escalating to leadership as needed

Respond to internal requests for information including status updates

Maintain a list of contacts with various payers

Work with providers to obtain information needed to complete enrollment applications and follow up as necessary

Maintain CAQH and PECOS profiles

Work collaboratively across departments

Ensure provider demographic data is kept up to date in credentialing system and with applicable payers

Document all activity and maintain accurate records in the credentialing system

Maintain confidentiality

Perform other duties as assigned

Requirements:

2+ years of experience enrolling with health plans including Medicare and Medicaid programs

Proficiency with applicable online portals including but not limited to CAQH, PECOS and Availity

Ability to work quickly and efficiently while maintaining accuracy

Excellent verbal, written, and social skills

Self-starter with the ability to work independently and proactively

Highly detail oriented

Able to work under pressure and adapt easily to change

Consistently create a positive work environment by being team-oriented

Excellent time and workload management skills

Experience with credentialing processes a plus

Knowledge of NCQA requirements, preferred

Benefits:

A competitive compensation

Fully paid for comprehensive health care (medical, dental, vision)

Pet Insurance

401k Plan

15 days paid vacation (accrued throughout the year), 3 paid sick days, 3 paid personal days

Paid holidays

Work remotely with flexible hours

Additional memberships and perks

Final offer amounts are determined by multiple factors including geographic location as well as candidate experience and expertise. If you have questions on compensation bands, please ask your recruiter.

Brightside Health is committed to equal employment opportunities for all team members. Every decision we make regarding employment is solely based on merit, competence, and performance. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We realize the full promise of diversity and want you to bring your whole self to work every single day.

Research shows that underrepresented groups typically apply only if they meet 100% of the criteria listed. At Brightside, we are dedicated to fair play and encourage women, people of color, and LGBTQ+ job seekers to apply for positions even if they don’t check every box for the role.

Cancer Registrar, Cancer Tumor Registrar

Category:Health Info Svs/Records/Coding
Employment Type:Full time
Work Location:Remote: 100% off site
Overview

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow’s physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Under the direct supervision of the DF/BCC Associate Director, this position is primarily responsible for identifying, registering and abstracting patients with cancer. This includes reviewing and analyzing hospital records and other medical reports for relevant cancer data; determining and classifying demographics, primary site, histology, stage and treatment on all cancer sites and performing annual patient follow-up as needed. Data collection will meet the standards of the Commission on Cancer of the American College of Surgeons, the Massachusetts State Cancer Registry, the New Hampshire State Cancer Registry, the DF/BCC Cancer Registry, Disease Centers, clinicians, researchers and administrators.

Responsibilities

Intermediate to advanced abstractor – abstracts complex cases
Abstracts all cancer sites
Complicated follow-up/recurrences/subsequent treatment
Casefinding as necessary (May collect additional data elements for disease center database)
CoC Cancer Registry related standards as necessary
Ad hoc projects as necessary
Qualifications

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

High school diploma required.
Bachelor’s degree optional.
Minimum of two years abstracting experience.
Knowledge of medical terminology; anatomy/physiology preferred; data entry/computer experience required.
Certified Tumor Registrar required.
College courses in anatomy/physiology or equivalent preferred.
Ability to abstract complex cancer sites.
Ability to analyze multiple medical documents (including hospital records and computerized reports) to classify and code cancer data. Must be able to apply skilled judgment to know when information is missing and how to look for information in another source and how to resolve conflicting information. Must have good attention to detail.
Ability to work with various computer systems including Windows applications and networked systems for data collection and report production.
Prefer experience with Elekta Metriq software and EPIC.
Knowledge of International Classification of Diseases for Oncology (ICD-O); American Joint Committee on Cancer (AJCC) Staging; Surveillance, Epidemiology and End Results (SEER); and the Standards for Oncology Registry Entry (STORE) of the CoC is also preferred.
Ability to work well with physicians, clinicians, researchers, administrative staff, and other cancer registrars to collect and report cancer data in the most efficient manner.
Ability to tactfully work with others to maintain quality data (i.e. correct errors).
Self-motivated and able to work independently.
Full-time, 40 hours, Mon-Fri 9:00am to 5:00pm with full-time remoting.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.

Business Analyst – InfoEd

Category:IT/Informatics
Employment Type:Full time
Work Location:Remote: 100% off site
Overview

The Research Informatics Operations (RIO) team is looking for a seasoned business analyst to coordinate, manage, lead and support the information system needs of the Dana-Farber Cancer Institute (DFCI) research community. The business analyst will join the Customer Experience Operations team under the RIO umbrella. The mission of the Customer Experience Operations team is to support the operations of the research program at Dana-Farber/Harvard Cancer Center (DF/HCC), including but not limited to clinical trial management, grant development, and biospecimen banking.

The incumbent will participate in the design, development, implementation, and overall support of the research systems operations program. They will lead complex projects and collaborate in re-engineering and developing new business processes to support DF/HCC’s need for automation and process development for new clinical trials management initiatives and basic science. Work will include leading workflow and business process flow analysis, definition and documentation of system requirements, and support of in-house, commercial, and open source software products. Furthermore, the incumbent will provide leadership for research system development initiatives and will be the liaison between customers and the development staff.

OVERVIEW OF THE RESEARCH INFORMATICS OPERATIONS (RIO) TEAM

RIO is a subdivision of the DFCI Informatics and Analytics department led by the Chief Health Information Officer. RIO is a significant component of the Clinical Research Support Unit for the DF/HCC consortium and specifically addresses the growing technological needs of the clinical trials research community. Systems supported by RIO interface to site-specific and enterprise-wide systems. The office provides a collaborative, responsive, integrated and focused approach to all aspects of systems development and support. The DF/HCC is comprised of the Dana-Farber Cancer Institute, Massachusetts General Hospital, Brigham and Women’s Hospital, Boston Children’s Hospital, Beth Israel Deaconess Hospital, Harvard Medical School and the Harvard School of Public Health. RIO supports clinical trials research informatics systems for the DF/HCC member institutions with regards to oncology research.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow’s physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Responsibilities

PRIMARY DUTIES AND RESPONSIBILITIES:

Provide exceptional customer support to DFCI and DF/HCC stakeholders, including study teams, clinicians, Office of Data Quality, Office for Human Research Studies, Mass General Brigham eCare and others by either resolving issues or facilitating connection with appropriate resources.
Lead business requirements gathering, workflow analysis, definition and documentation of system requirements primarily for grants management at DFCI, but with opportunities to expand to other research processes involved for each of the DF/HCC institutions as they relate to the various clinical trial systems, biobanking and basic research systems.
Work autonomously to define project approach, develop alternative solutions (automated and manual), and provide appropriate feedback to meet both system and operational objectives
Determine the functional breakdown of solutions based on evaluation of user needs and input
Effectively translate functional needs into system functions that can be implemented by the vendor or the in-house development team
Develop workflow diagrams, schedules, test and training plans, for vendor upgrades, new vendor systems and in-house developed systems
Create training materials and effectively train users how to properly utilize software systems supported by RIO
Serve as an exemplary representative of RIO. On-going communication, feedback and follow-through with customers/peers are essential.
Function as the analyst subject matter expert for assigned applications supported by RIO
Elicit and document functional requirements for on-going implementation projects
Schedule and run meetings, report progress, track and route issues
Learn and utilize new products and tools, as appropriate, to successfully complete work assignments
Successfully build and maintain vendor relationships
Continually innovate based on industry trends and facilitate networking with outside institutions
Follow project management lifecycle in accordance with DFCI, DF/HCC, Mass General Brigham and group specific standards.
Develop project and system documentation throughout the course of daily activities and projects.
Actively participate in and support team culture.
Utilize Dana-Farber Cancer Institute values to govern decisions, actions and behaviors.
Perform other related duties as assigned and/or needed
May participate in 24/7 on-call rotation for resolution of patient care critical issues
Qualifications

MINIMUM JOB QUALIFICATIONS:

Bachelor’s degree required. Concentration in Information Technology, Bioinformatics, Biology, Computer Science, Business, Basic Sciences or other relevant healthcare or life sciences field preferred. A combination of education and experience may be substituted for requirements.
7 years in IT as a business analyst in a customer facing role or direct domain experience in an academic and/or healthcare environment; clinical or basic research experience a plus.
Experience in collaborating with cross-functional teams of 10 or more indirect resources (clinical, technical, administrative), including directing the work of user and business representatives within workgroups
Experience with successful implementation of enterprise applications
2+ years demonstrated project management experience
Proficient in complete MS Office suite, including Outlook, Word, Excel, and PowerPoint.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

Attention to detail, customer service orientation, and proven ability to perform work accurately and efficiently.
Ability to be flexible, versatile and adaptable in activities conducted in a multi-site environment
Must be willing to contribute to and foster a team culture where all are encouraged and willing to share information accurately
Ability to work and maintain focus within a complex, fast-paced work environment with multiple concurrent, inter-related subprojects, as well as shifting and competing priorities.
Self-starter, able to work independently and within a team with limited to no supervision, while aligned with the goals and vision of the organization and the immediate requirements of the current project.
Ability to work effectively with all levels of executives, administrators, researchers, and technical IT staff.
Ability to learn new tools and utilities rapidly
Excellent communication skills – both oral and written. Must be able to negotiate and communicate with all levels of staff.
Excellent organizational and analytic skills, with the proven ability to multi-task, troubleshoot, and prioritize work.
Ability to create and deliver effective presentations to all levels of organization
Must be able to supervise the development and presentation of complex business issues analysis and resolution
Possess ability to mentor others and should enjoy such responsibility
Familiarity with using large, complex software management systems (e.g. PeopleSoft, Epic)
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Benefits Intervention Coordinator & Counselor

Overview

Category:Administration Support/Customer Service
Employment Type:Part time
Work Location:Remote: 100% off site

This position works within the Bona Lab in the Pediatric Outcomes research program. The Bona Lab’s research portfolio focuses on improving childhood cancer outcomes by systematically considering social determinants of health as risk factors in the clinical trial setting and identifying potential targets for intervention. The Benefits Counselor will lead the benefits-related aspects of multiple research studies, including the Pediatric RISE guaranteed income intervention for families of children with cancer which includes the provision of individualized benefits counseling.

Working under the supervision of the Pediatric Outcomes Research Manager and the Principal Investigator the Benefits Counselor will also support the development, implementation, and maintenance of new research protocols which will include benefits counseling and support for medically underserved patient populations to improve their cancer care outcomes.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow’s physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. 

This position’s work location is fully remote, never on campus. The selected candidate may only work remotely from a New England state (ME, VT, NH, MA, CT, RI). 

Responsibilities

  • Provides individualized benefits counseling in protocolized research context to study participants to facilitate participant understanding of research participation impact on individual family benefits
  • Creates and provides research-quality resources to study participants, including but not limited to individualized benefits guides, documentation outlining guaranteed income (GI) payment exclusions, etc.
  • Assists participants with communicating GI payment exclusions to their benefit caseworkers as needed
  • Manages claims from study participants who experience adverse events regarding their benefits due to study participation and collaborates with partner organization responsible for distribution of hold harmless funds
  • Conducts research & outreach to identify benefit programs and protections that exist throughout the United States to inform the development of new research protocols and interventions
  • Works with benefit administrators nationally to request and negotiate application of existing and new benefit protections
  • Creates individualized benefit guides/toolkits for collaborating sites on multi-center trials, outlining which benefits will be impacted, action steps for reporting, and possible consequences if participants do not report income accurately
  • Tracks and follows patient interactions via appropriate documentation policies and procedures
  • Works with clinical and research staff to track study metrics
  • Identifies system and/or organizational barriers to implementing study intervention and recommends strategies for improvement
  • Works closely with appropriate staff throughout the healthcare system to successfully conduct research study procedures

Qualifications

  • Bachelor’s degree required. Graduate degree in related field preferred (Social Work, Public Policy, etc.)
  • A minimum of 5-years of experience required
  • Experience working with patients and clinicians required
  • Certification in benefits counseling and/or background as a benefits counselor required
  • Oncology experience a plus

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

  • Knowledge of the communities served, the local health system and community resources a plus
  • Excellent communication and organization skills
  • Ability to maintain patient confidentiality at all times
  • Ability to follow documented policies and protocols for all patient interactions/contacts
  • Strong attention to detail
  • Ability to work independently, as well as in groups
  • Experience working with diverse populations
  • Technical skills/computer savvy

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. 

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.