Support Specialist:

Compensation for this position ranges from $16.50 to $17.50 USD/hr

Cisive is seeking an experienced Support Specialist to join our Government Solutions team consisting of talented technicians and specialists.

Essential Job Duties:

-Serve as the first point of escalation for clients on case level and account issues
-Responsible for internal/external client support including but not limited to report research and analysis, timely delivery of information requests, ensuring terms of Service Level Agreements are met and management of Service Center tickets including entering, updating and closing
-Prepare, analyze, and determine trends for monthly account reviews
-Ensure client fact sheets are kept current and relevant
-Escalate issues/questions to the next appropriate level
-Respond appropriately to all client concerns and inquiries, ensuring results and detailed action plans of any corrective actions are communicated
-Communicate compliance and program notifications via email to all clients
-Produce SalesForce tickets

PROCESSOR, CLAIMS:

Pay Range:   $ 25,622 – $ 49,962  a year

Job Summary:

Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.

KNOWLEDGE/SKILLS/ABILITIES:

-Logs and edits claims via the claims system, and researches submitted claims if applicable.
-Handles more complex requests for claims processing; escalates where needed.
-Contacts appropriate parties to request missing information from requests or for additional information as requested.
-Participates in interdepartmental collaboration to enhance the claims processing function.
-Meets department quality and production standards.

Remote Administrative Assistant:

Compensation: $25.00 to $30.00 per hour

Administrative Assistant Duties/Responsibilities:

-Provides high-level administrative support and assistance to the Owner/President
-Schedule planning and management for Senior Staff.
-Receives incoming communication or memos on behalf of senior staff, reviews contents, determines importance, and summarizes and/or distributes contents to appropriate staff.
-Performs office tasks including maintaining employee records, ordering supplies, and performing basic bookkeeping.
-Performs administrative tasks including time sheet management and ingoing/outgoing bill management
-Manages Mailing List responses in marketing function and distributes communication appropriately.

Accounts Payable Customer Care Specialist II:

Pay Range $20.14 – $30.82:

Job Summary:

This job contributes to Starbucks success by performing a variety of analytical accounting duties. Reconciles bank and vendor accounts, posts to and balances general ledger, processes payments and compiles segments of monthly closings. Area of responsibility may include accounts payable, accounts receivable, cash management or capital accounting. Models and acts in accordance with Starbucks guiding principles.

As a Accounts Payable Customer Care Specialist II, you will…

-Analyze supplier aging to pay all invoices working to build sustainable processes between AP, the supplier, procurement, and sourcing.
-Communicate and build relationships with internal and external customers to resolve issues.
-Utilize available resources and tools to resolve issues.
-Work with suppliers and partners to identify missing elements in the invoice submission or approval process.

Inpatient Coder II:

The national cash compensation range for this role is $48,000 – $65,000

The AR Specialist will play a key role in ensuring the day to day billing and collections operations run smoothly while continually driving ideas for automation and efficiency to move the business forward.

What You’ll Do:

-Create and distribute customer invoices in a timely, accurate manner

-Provide exceptional customer service by promptly responding to customer inquiries related to billing, payment status, and account information. Build and maintain strong relationships with customers to facilitate prompt payment and resolve issues in a professional manner.

-Continuously monitor the customer aging report, perform collections actions and maintain vendor portals on a regular basis to meet DSO standards

-Identify opportunities for process improvement within the accounts receivable function to enhance efficiency and accuracy.

-Perform AR due diligence reviews for customers and partner with internal teams for customer onboarding.

-Ensure compliance with company policies related to accounts receivable processes. Maintain documentation for internal controls and reporting.

PRE-SERVICE DOCUMENT INDEXER,

FULL-TIME, DAYS (REMOTE), PIEDMONT HEALTHCARE

RESPONSIBLE FOR:
Responsible for serving as front-line support for the Patient Connection Center within Piedmont Healthcare. The Pre-service Document Indexer works closely with referring physician offices and hospitals to ensure required pre-service document orders are present prior to patient visits.

Order Intake Specialist:

JOB SUMMARY:

As a member of the Customer Experience Department, you will be the voice of the company as you interact with our patients, physicians and vendor network. You will ensure that members orders are processed in an accurate, timely, compassionate, and respectful manner. As an Order Intake Specialist, your primary responsibility is to process incoming orders, ensure accuracy of the order, speak with ordering physicians if necessary, and initiate timely delivery orders to our members. It is vital that you thrive in a fast-paced environment and embrace change as the company grows and evolves systems and processes.

JOB RESPONSIBILITIES & DUTIES:

· Manage referrals, including obtaining all required clinical information within established timelines

· Responsible for understanding insurance provider guidelines and authorizing services based on Synapse Health policies and insurance verification

· Responsible for detailing all the workflow for authorization of request, including documenting receipt of request, member eligibility in the Synapse Health software system

· Responsible for coordinating order confirmation and financial responsibility with members and identified care team as well as collecting and documenting payment methods

· Responsible for coordinating delivery order with partner vendors and communicating delivery details with patients and identified care team

Claims Processor I:

Job Description:

-Account maintenance: Updating registration, authorization issues, identifying charge correction, , processing adjustments as needed and denial follow up according to payer rules and departmental policies.
-Use electronic billing system appropriately to follow up on outstanding denied claims and all no response claims. Corrects claims in electronic billing system for missing or invalid insurance or patient information according to procedures, and places account on hold if you can’t resolve
-Follow up on denied or no response claims by calling third party payers or using payer websites.

-Gathering information from patients or other areas to resolve outstanding denied or no response claims. Researching accounts to take appropriate action necessary to resolve.
-Keep management aware of issues and trends to enhance operations and escalates slow-pay issues to managerial level when necessary.
-Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.


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