by twochickswithasidehustle | Nov 8, 2024 | Uncategorized
About us:
Parsley Health is a digital health company with a mission to transform the health of everyone, everywhere with the world’s best possible medicine. Today, Parsley Health is the nation’s largest health care company helping people suffering from chronic conditions find relief with root cause resolution medicine. Our work is inspired by our members’ journeys and our actions are focused on impact and results.
The opportunity:
Parsley Health has an opportunity for a proactive, critical thinker to fill the role of Accounts Receivables Specialist. This job will be the connection point between the claims processing team and building solutions with clinical operations teams to strengthen member satisfaction and grow revenue. The ideal candidate is someone who finds a thrill in digging deep into a problem to find its source, and working with a team to build a solution.
The Accounts Receivables Specialist will be primarily responsible for identifying and resolving systems level issues in the Parsley Health revenue cycle including claims member enrollment, claims processing, and payor adjudication. This role will work closely with the Revenue Cycle Director, Member Benefits Associate and other cross functional partners to improve workflows to ensure claims are processed timely and accurately.
What you’ll do:
- Serve as the primary point of contact for all issue resolution with Parsley Health’s third party claims and payment processor – including items such as:
- Fee Schedule Maintenance
- Claims Releases
- Enterprise Billing Set Up
- User and system maintenance
- Identify Adjudication Patterns using denial and claim rejection data and partner with the Insurance Operations Manager and cross-functional teams to identify root causes for improved claims workflow
- Provide support for member facing escalations regarding insurance eligibility and claims denials
- Serve as a stakeholder and revenue cycle subject matter expert in payer operations process improvements
- Support the development of insurance based trainings for MX, Coords, FOH
- Develop Payer Workflow / SOP Creation
- Payer Ops collaboration with other depts (Sales, EPD, Marketing/Growth)
- Verify insurance benefits and check eligibility of all members.
What you’ll need:
- At least 3+ years of experience in healthcare accounts receivable, billing, and collections.
- Strong knowledge of CPT/ICD-10 codes and insurance claims processes.
- Proficiency in healthcare billing software and electronic medical records systems.
- Excellent communication, problem-solving, and organizational skills.
- Ability to communicate technical information in a way that is easy for team members and patients to understand.
- Comfortable in amorphous, fast-paced environments and with constantly evolving responsibilities.
- Tech-savvy skills: very comfortable adopting new technologies and platforms and efficient in tech-related tasks.
- Knowledge of federal and state healthcare billing regulations and compliance standards.
Nice-to-haves:
- Familiarity with non fee-for-service healthcare reimbursement models (per member per month, employer based subscription models, capitation, etc.)
- Experience working in healthcare technology.
Benefits and Compensation:
- Equity Stake
- 401(k) + Employer Matching program
- Remote-first with the option to work from one of our centers in NYC or LA
- Complimentary Parsley Health Complete Care membership
- Subsidized Medical, Dental, and Vision insurance plan options
- Generous 4+ weeks of paid time off
- Annual professional development stipend
- Annual wellness stipend
Parsley Health is committed to providing an equitable, fair and transparent compensation program for all employees.
The hourly rate for this role is between $21-$25/hour, depending on skills and experience. We take a geo-neutral approach to compensation within the US, meaning that we pay based on job function and level, not location.
Individual compensation decisions are based on a number of factors, including experience level, skillset, and balancing internal equity relative to peers at the company. We expect the majority of the candidates who are offered roles at our company to fall healthily throughout the range based on these factors. We recognize that the person we hire may be less experienced (or more senior) than this job description as posted. If that ends up being the case, the updated salary range will be communicated with candidates during the process.
At Parsley Health we believe in celebrating everything that makes us human and are proud to be an equal opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members.
Important note:
In light of recent increase in hiring scams, if you’re selected to move onto the next phase of our hiring process, a member of our Talent Acquisition team will reach out to you directly from an @parsleyhealth.com email address to guide you through our interview process.
Please note:
- We will never communicate with you via Microsoft Teams
- We will never ask for your bank account information at any point during the recruitment process, nor will we send you a check (electronic or physical) to purchase home office equipment
We look forward to connecting!
by twochickswithasidehustle | Nov 8, 2024 | Uncategorized
About Forma
The market for employee benefits is broken. Companies spend millions annually on employee benefits that employees neither value nor regularly use. Founded in 2017, Forma set out to build a better model by challenging traditional one-size-fits-all approaches.
Forma’s flexible benefits software helps companies offer competitive benefits packages while reducing costs and inefficiencies, by giving employees more choice and flexibility in how they spend their benefit allowances. The platform also saves HR professionals countless hours managing and supporting various point solutions.
Using Forma, companies can select from a suite of products that include Lifestyle Spending Accounts, Health Spending Accounts, Health Reimbursement Arrangements, Flexible Spending Accounts, and more to design and deliver customized benefits programs–all through a single platform. Employees then have three choices to spend account funds: The Forma Store with discounted products and services, The Forma Visa Card, or claim reimbursement backed by Forma’s world-class member support team.
Forma has helped hundreds of the world’s most admired companies, including Stripe, Zoom, Lululemon, and Affirm, design and support flexible, inclusive benefits programs for nearly a million employees. And, we are seeing great success with 98% customer retention, 75 NPS, and 98 CSAT ratings from members.
Forma is backed by Emergence Capital and Ribbit Capital and has received numerous awards for its exponential growth, its software innovation, and as a “Great Place to Work.”
About the Role
The Compliance Officer will design and execute Forma’s compliance function to meet bank and regulatory requirements, and to support Forma’s future growth and product innovation. You will design, implement, and manage core elements of a robust regulatory compliance program. This will involve developing a roadmap for implementation of initiatives, ensuring all key stakeholders are brought into the delivery plan, and managing delivery in an agile and risk-based manner. You will manage Forma’s policies and procedures , and serve as the BSA officer for external responsibilities. This is a player-coach role with a future opportunity to expand and lead the compliance team.
You Will
- Design and implement policies and procedures to ensure compliance with the BSA, Anti-Money Laundering (AML) laws, and other regulatory requirements.
- Establishing a comprehensive compliance program that includes risk assessments, training, and monitoring.
- Monitor transactions for suspicious activities that could indicate money laundering, terrorist financing, or other illegal activities.
- Provide UAR (Unusual Activity Reporting) to banking partners for possible SAR filings
- Provide training on BSA/AML regulations and the institution’s policies and procedures.
- Conduct regular audits and independent testing of the BSA/AML compliance program to ensure its effectiveness.
- Act as the primary point of contact with regulatory bodies and banking partners regarding BSA/AML issues.
- Maintain comprehensive records of compliance activities, including training, audits, reports, and any actions taken in response to suspicious activities.
- Conduct periodic risk assessments to identify and assess the institution’s vulnerabilities to money laundering and financial crimes.
- Report to senior management and the board of directors on the status of the BSA/AML compliance program.
Preferred Skills
- A deep understanding of the Bank Secrecy Act, Anti-Money Laundering (AML) laws, USA PATRIOT Act, and other relevant regulations and guidelines.
- Awareness of global AML standards, such as those set by the Financial Action Task Force (FATF).
- Ability to analyze complex data, identify patterns, and detect unusual or suspicious activity.
- Proficiency in using compliance and transaction monitoring systems.
- Strong attention to detail to ensure accurate reporting and documentation.
- Ability to scrutinize transactions and customer behavior for signs of potential non-compliance.
- Excellent written and verbal communication skills to clearly convey compliance requirements and findings to various stakeholders.
- Ability to provide training and education to staff on BSA/AML topics.
- Aptitude for identifying compliance issues and developing solutions to mitigate risks.
- Critical thinking skills to address complex regulatory challenges.
- Familiarity with financial compliance software and systems used for transaction monitoring and reporting.
- Basic understanding of data analysis tools and techniques.
- Ability to conduct risk assessments and develop risk mitigation strategies.
- Understanding of the risk landscape related to money laundering and financial crimes.
Preferred Experience
- 5-7 years of experience in a compliance role, preferably within the financial services industry.
- Prior experience specifically in BSA/AML compliance or financial crime prevention is highly desirable.
- A bachelor’s degree in finance, business administration, law, or a related field
- Advanced degrees or certifications, such as Certified Anti-Money Laundering Specialist (CAMS) or Certified Regulatory Compliance Manager (CRCM)
- Experience working with regulatory agencies or within regulated industries.
- Experience managing compliance teams or projects, including training and mentoring junior staff.
- Experience conducting audits, investigations, or assessments related to financial compliance.
Benefits and Perks
- Remote-first working environment
- Medical, dental and vision insurance plans
- Employee wellness program
- One-time home office stipend
- 401(k) savings plan
- Flexible PTO policy
- 12 weeks Parental Leave + 4 additional weeks for the Birthing Parent
by twochickswithasidehustle | Nov 8, 2024 | Uncategorized
Overview
The Opportunity
Accounts Receivable Agent Liaison – Remote Opportunity (Must be located in FL, GA, SC, AL, TX, NJ, AZ, MI, NV, or PA)
Pay starting at $19.25 per hour
We are seeking to add an Accounts Receivable Agent Liaison to our team. This role is a remote opportunity but applicants should note that they must live in one of the follow states: FL, GA, SC, AL, X, or PA. Our accounts receivable team plays an important role of working closely with insurance agents to ensure policy premiums are collected and applied to the correct policy. As an A/R Agent Liaison, job duties include analyzing an agent’s account and calling for past due amounts. They will also request notices of cancellation and post checks as necessary. The ideal candidate for this role will have great customer service skills, the ability to multi-task, and be detail oriented.
Benefits of Joining Our Team:
- Paid Time Off
- 10 Paid Holidays
- 401(k) with company match up
- Medical, Dental, & Vision insurance
- Supplemental benefits including company paid long-term disability and life insurance.
Responsibilities
Responsibilities include:
- Contact agents for payment prior to initiating direct notice of cancellation of policy.
- Send earned premium letters.
- Research checks posted incorrectly.
- Handle incoming calls, emails and faxes from agents.
- Work closely with the supervisor regarding past due items.
- Handle finance company calls.
- Handle Company Payables calls/emails – contact agents on policies which demand immediate payment.
- Prepare payments to the Agent/Finance Companies.
- Request Notices of Cancellation for unpaid policies.
- Post agent and finance company checks, wires, and ACHs
- Rescind paid policies
- Email Statements and Late Notices to agents
- Prepare Daily Cash Report
- Review Producer Payable Report
Qualifications
Job Requirements:
- High School Diploma or General Education Diploma (G.E.D.)
- 1 year of Accounts Receivable or Customer Service experience preferred
- Strong customer orientation, excellent interpersonal and communication skills
- Strong problem analysis and resolution skills
- Must be able to prioritize and be responsive to complex issues
- Detail oriented and able to multi-task
- Proficient in Microsoft Word, Excel and Outlook – knowledge of accounting desired
by Irma Moore | Nov 8, 2024 | Uncategorized
Overview
LMI is seeking a skilled Senior Data Analyst – Healthcare. Position is on the staff of a private, government consulting firm. Work is sponsored by Federal Government departments and agencies, including the Department of Health and Human Services. This position may be performed remotely.
The successful applicant will become part of a team dedicated to analytical support and operations work for the Department of Health and Human Services (HHS), specifically the Center for Consumer Information and Insurance Oversight (CCIIO). The primary focus will be data analytics to ensure that health insurance plans are aligned with federal regulations. However, this position will NOT be involved in direct drafting of policy or in influencing policy decisions made by the government.
LMI is a consultancy dedicated to powering a future-ready, high-performing government, drawing from expertise in digital and analytic solutions, logistics, and management advisory services. We deliver integrated capabilities that incorporate emerging technologies and are tailored to customers’ unique mission needs, backed by objective research and data analysis. Founded in 1961 to help the Department of Defense resolve complex logistics management challenges, LMI continues to enable growth and transformation, enhance operational readiness and resiliency, and ensure mission success for federal civilian and defense agencies.
We offer a generous compensation package with excellent benefits that start the first day of employment. Flexible work schedules, telework opportunities, and tuition reimbursement are a few of our many work-life benefits available to our employees. Come join the organization consistently ranked as a top workplace!
Responsibilities
Responsibilities may include:
- programming and analyzing data in a Microsoft Azure environment using Azure Synapse Notebooks and PowerBI
- analyzing data using Python, SQL, spreadsheets, or other analytical tools
- presenting complex data in easy to understand presentations, and working in a team
- researching guidance and regulations
- assisting with writing updates to client documents such as public instructions and standard operating procedures
The successful applicant:
- will become part of a team that supports Health and Human Services (HHS), and the Center for Consumer Information and Insurance Oversight (CCIIO) within HHS.
- should be comfortable working with information systems, validation and verification of data by comparing and analyzing data from various sources, and reporting findings in a meaningful way.
- is interested in developing an understanding of changes in healthcare policy at the federal and state levels, which will aid LMI in implementing programs from the Affordable Care Act
Qualifications
MINIMUM QUALIFICATIONS
- Bachelor’s degree in industrial engineering, operations research, statistics, mathematics, computer science, or related discipline
- 5+ years of experience
- Strong analytical skills
- Experience coding in Azure Synapse
- Proficiency in Python
- Proficiency in Microsoft Office programs including Word, Excel, PowerPoint.
- Superior communication skills, both written and oral
- Ability to absorb large amounts of new technical and policy knowledge without a lot of guidance
DESIRED SKILLS AND BACKGROUND
- Master’s degree in industrial engineering, operations research, statistics, mathematics, computer science, data science or related discipline
- Expert knowledge of Python, Tableau, PowerBI, SQL, Excel – VBA, and/or SAS.
- Understanding of federal healthcare programs.
- Over 5 years of experience in data analysis and reporting.
by Irma Moore | Nov 8, 2024 | Uncategorized
At Children’s Wisconsin, we believe kids deserve the best.
Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.
We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/
Responsible for creating, implementing and maintaining an education and audit plan to ensure correct coding, billing compliance and complete charge capture within the medical specialties assigned.
EDUCATION, CERTIFICATION, ETC.
- High school education or equivalent. Advanced education preferred.
- CPC, CCS ,CCS-P or RHIT certification is required.
SKILLS & EXPERIENCE:
- Three or more years of experience in Physician (Professional) Evaluation and Management (E&M)and office/clinic-based procedures, coding, auditing and/or Provider education.
- Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance.
- Ability to develop, deliver and assess Provider coding education plans.
- Experience working with Electronic Health Record, preferably Epic.
- Advanced level reading, writing and oral communication skills along with knowledge of Microsoft office products.
We are primarily seeking someone with strong experience in Mental and Behavioral Health for this role.
This is a fully remote position. There is no required travel to our Main Campus in Milwaukee.
Children’s Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
Certifications/Licenses:
by Irma Moore | Nov 8, 2024 | Uncategorized
About The Opportunity
Netrix Global, award-winning provider of cybersecurity and end-to-end IT services, seeks a Computer Support Technician to provide timely and accurate technical support to internal employees and client employees; answer questions or resolve computer problems for clients in person, via telephone, or from remote location. Provide assistance concerning the use of computer hardware/software and related systems and services, including printing, installation, word processing, electronic mail, and operating systems.
How You Will Make An Impact
- Service Delivery
- Monitor and respond to assigned incident management queues promptly and document all research, troubleshooting and resolutions accurately.
- Research, troubleshoot and resolve incidents in a timely manner and according to Netrix and client specific policies and standards.
- Provide accurate and creative solutions to user problems of a complex nature to ensure users are quickly restored to productivity.
- Perform daily follow up on all assigned open incidents.
- May Install and perform minor repairs to hardware, software, or peripheral equipment, following design or installation specifications.
- Train users in the proper user of hardware and software
- Acquire and maintain current knowledge of relevant hardware, software and systems in order to provide technically accurate solutions to users.
- Provide AV and/or Conference Room Support as needed per the client. (Training will be provided)
- Process Improvement
- Acquire and maintain a working knowledge of ITIL Incident and Change Management functions.
- Develop, document and communicate procedures to resolve user problems.
- Participate in internal and client projects as required.
- Recommend new processes/procedures or changes to existing ones to enhance the quality of service delivered to internal and client users.
- Communication
- Identify, research, and resolve the root cause of incidents to ensure they do not recur and to resolve before other users are affected.
- Monitor Netrix corporate email and any client email regularly to maintain current knowledge of operations.
- Attend staff and client meetings as required.
- Physical Work Environment
- Will work primarily at the client site in solo capacity reporting to manager remotely, client site is in 1615 West Chester Pike, West Chester, PA, zip code: 19382.
- Miscellaneous
- Participate in mandatory on-call rotation as required.
- Follow all applicable Incident and Change Management processes and procedures to ensure the accuracy and integrity of the solutions delivered.
- Employees must use their personal mobile phone to utilize MFA to access Netrix and/or client systems.
What You Will Bring To The Table
- Minimum of 3 years experience in hardware support & maintenance
- Experience with JAMF Pro MDM software a plus
- Experience with Apple Ecosystems a plus
- Excellent troubleshooting skills
- Strong understanding of Microsoft operating systems
- Able to identify when something is wrong or is likely to go wrong
- Excellent communication skills
- Highly self-motivated and independent
- Ability to multi-task and work with minimal supervision
- Must maintain current technical understanding of technology within discipline.
- This position might require a Biometric Background Check based on customer need.
- Mac experience a plus
Interaction
Daily interaction with client management and employees.
Impact
Computer Support Technician interacts with customers on a regular basis and needs to maintain a positive and professional attitude always.
About Us
At Netrix Global our values are the philosophies and principles that live by. They support our vision, help us achieve our goals and commit us to a common purpose.
We Own Outcomes, Win Together, Make An Impact, Enjoy The Journey, and Respect All!
Netrix Global is a mission-driven organization with the goal of providing the people, processes, and technology needed to run and scale modern, data-driven businesses that are always on and always secure. Our breadth of capabilities allows us to provide holistic offerings that solve even today’s most complex business challenges, delivering to you an integrated, optimized, and future-proof solution.
We work with clients of all sizes and specialize in solutions for healthcare, manufacturing, government, education, financial services, and legal industries. Netrix is consistently ranked in the CRN VAR500, detailing the country’s top system integrators.
At Netrix, we’re driven to solve business problems with innovative technology solutions. We focus on end-users and are committed to client satisfaction.
What You Can Expect From Us
We offer a competitive compensation package, comprehensive group benefits to meet the needs of you and your family, flexibility, and time off when you need it, and a casual work environment. The role can be remote/home office, with some travel required.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations. If you need reasonable accommodations, please let us know by contacting NetrixHR@Netrixglobal.
To learn more about Netrix Global please go to www.netrixglobal.com
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