Remote No Phone Work Opportunities for 11/01/2023

General Clerk III:

Compensation: $16.22 per hour

General Clerk III provides comprehensive administrative support by performing a variety of tasks such as data entry, document processing, scheduling, and record keeping. Assists in coordinating and organizing office operations, maintains accurate records, and ensures efficient workflow. Handles inquiries, communicates effectively, and demonstrates attention to detail in all assigned duties.

Order to Cash Specialist – Remote:

The E.W. Scripps Company is seeking an Order to Cash Specialist to provide support and subject matter expertise for all Order to Cash functions for the Local and National media as well as other departments within Scripps. 

• Investigate and resolve questions related to Order to Cash functions
• Perform processes in the Order to Cash department including, but not limited to: Customer Service, Cash Application, Cash Balancing, Daily Aired TV Log Reconciliation, Billing, Customer Account Setup and Credit card processing
• Continually review the processes and workflow of all O2C services and provide recommendations as to the most efficient manner to accomplish these services
• Assist with centralizing and standardizing workflow processes
• Assist with establishing methodology to measure operational metrics and internal Service Level Agreements (SLAs)
• Assist with software upgrades, education of users and updating Standard Operating Procedures (SOPs) for new versions of software
• Resolve escalated issues when appropriate and provide support to the management team in resolving issues
• Coordinate O2C audit requests from internal and external auditors
• Assist the management team on special projects as needed

Priority Claims Specialist I – Remote:

Compensation: $16.00 to $23.00 per hour + annual bonus: up to 5% of base pay depending on bonus criteria

Primary responsibilities includes reviewing complex claims, patient records and hospital and physician billing practices and identifying any discrepancies or errors in payments made to Medicare providers; while maintaining support and communication with Clinics, employees, and management alike.

As the Priority Claims Specialist you will: 

• Retrieve and properly identify any document received from Revenue Cycle Management (RCM) system
• Update tracking and billing systems accordingly
• Perform internal and external data, files, or medical chart reviews to assure that codes billed are appropriate and supported by documentation in the records and comply with Centers for Medicare and Medicaid Services (CMS) guidelines and medical policies
• Complete, review, and research any deficiency to ensure that any deficiency is properly addressed
• Consult with physicians / clinicians and their staff (if acceptable within the Region), as needed, on documentation issues, and other regulatory issues as they arise
• Develop and manage relationships with colleagues in a professional
• Responsible for conducting special projects, which may include reconciling and reviewing medical necessity, as necessary. Special projects may require spreadsheet development as well as reports that summarize outcome of special projects
• Report anomalies and new trends immediately to Supervisor for additional input.
• Prepare complex claims reimbursement submissions in a managed care environment
• Assess complex claims to determine risk of denial, audit, and/or retraction
• Serve as an advocate and resource to clinic administration in the areas of reimbursement and managed care
• Conduct analytical research and provide expertise on items; such as; pricing, reimbursement, and claim appeals process
• Maintain and support relationships with customers and insurance/managed care organizations to ensure a successful reimbursement program  
• Work closely with field staff and may provide training on relevant reimbursement issues
• Process complex claims with a high degree of accuracy

Specialist, Cash Application:

The Specialist of Cash Application performs all cash posting activities across Ensemble Health Partners.  Job duties include, but are not limited to, posting remittance advice to patient accounts, resolving any errors after posting payments, posting guarantor payments, reconciling all posted cash with bank, requesting refunds, and credit balance management. They will perform these duties while meeting the goals of Ensemble Health Partners, as well as meeting the regulatory compliance requirements.

Essential Functions:
• Cash Application Specialist responsibilities include posting remittance advice to patient accounts, resolving any errors after posting payments, posting guarantor payments, reconciling all posted cash, and requesting refunds.
 Performs reviews of AR reports and identifies posting issues, root cause analysis and develops action plans.
 Investigates and resolves unapplied cash
 Performs other duties as assigned
• Cash Application Specialist responsibilities include posting remittance advice to patient accounts, resolving any errors after posting payments, posting guarantor payments, reconciling all posted cash, and requesting refunds.
• Performs reviews of AR reports and identifies posting issues, root cause analysis and develops action plans.
• Investigates and resolves unapplied cash
• Performs other duties as assigned

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