4 Insurance jobs

Candidate will serve as the billing liaison to the Home Health/Hospice programs and be responsible for preparation, tracking and transmission of electronic billing for Medicare Home Health and Medicare/MaineCare Hospice.  The Billing Coordinator is responsible for claims submission through the Medicare remote access system, bi-weekly uploads, and processing of the Medicare remittances and payments and will also perform periodic account reconciliation, financial reporting, and maintain all applicable billing information in the Electronic Medical Record (EMR) system. All interested candidates must complete an on-line employment application to be considered for employment at CHCS. Please visit our website at www.chcs-me.org to apply or contact HR at 922-4625 to set up an interview. CHCS is an equal opportunity and affirmative action employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, pay transparency, protected veteran status, or any other classification protected by federal, state or local law. EOE and Service Provider Minorities/Females/Protected Veterans/Disabled  

CNSI a CMMI Maturity Level 3 company has established strong domain expertise in prominent industries, including Health, Defense and National Security, Government IT, Homeland Security and Transportation. We employ a world-class team of professionals all of whom have experience with large scale mission-critical IT implementations. CNSI is headquartered in Rockville, Maryland and we are on site in over 10 cities worldwide.       JOB DUTIES/RESPONSIBILITIES:     Business Analysis: Develops and modifies documentation related to complex projects and information systems under no supervision Acts independently to determine appropriate methods and procedures on new or special assignments Serves as technical lead on Business Analysis projects Provides business analysis strategy for a client and develops multi-year business analysis approach on programs Coordinates and plans all the tasks required for business analysis and implementation Evaluates new technologies for solving technical problems Provides recommendations on technologies and solutions to existing business analysis issues Prepares conceptual technical solution based on business requirements Applies in-depth Business Analysis knowledge to review and analyze systems problems to identify solutions and ensure quality Leverages expertise to offer advice on process improvements and technical solutions, leveraging specialty experience Uses cases, workflow diagrams, and gap analysis to create and/or modify requirements documents and design specifications Analyzes user requirements and client business needs using standard procedures Identifies and manages scope of changes based upon clients’ requirements   General: Excellent understanding of the business analysis project lifecycle and practices Expert in Systems Development Lifecycle (SDLC) and can demonstrate strong knowledge of business analysis methodologies, best practices and procedures, and applies them to projects to ensure business analysis objectives are achieved Adheres to CNSI CMMI standards and process level improvements Proven and demonstrated interest in the technology innovations and trends   Customer: Works with customers on presenting technical solutions for complex business functionalities Unwavering commitment to customer service and operational excellence Provides customer support through leading client demos and presentations Will be customer facing Keeps abreast on new technology and market developments and suggests adoption of new technologies and tools to improve quality of business analysis deliverables (including federal regulations)   Talent Development: Establishes exceptional working relationships with team members and management Conducts knowledge transfer sessions and technical seminars to other team members Guides junior Business Analysis staff with industry standards and best practices Provides advanced technical/test guidance and mentoring to Business Analysis team and serves as a mentor to less experienced business analysts Trains Business Analysis team and cross-functional technology teams on new technical concepts         MANDATORY SKILLS:   Bachelor’s Degree with a minimum of 12+ years of business analysis or related experience Master’s Degree with a minimum of 8+ years of business analysis or related experience Preferred Majors: Computer Science, Engineering, Business Administration, or a closely related field Experience with Systems Development Life Cycle (SDLC) Experience in healthcare industry Minimum 5 years of technical experience on large complex project Domain knowledge of Medicare, Medicaid, and/or healthcare verticals Excellent customer relation skills, including presentation and meeting facilitation Strong analytical and problem skills Strong attention to detail Strong understanding of the Systems Development Life Cycle (SDLC) Able to understand business needs, analyze processes, and develop alternative solutions. Excellent requirements elicitation and validation skills Experience facilitating and running JAD, requirements design sessions etc.   Following skills would be a “PLUS”: Provider Management and Enrollment System Excellent project/task management skills, including the ability to manage and prioritize multiple tasks Certified Business Analysis Professional (CBAP)     CLICK ON LINK BELOW TO BE DIRECTED TO OUR WEBSITE FOR YOUR APPLICATION PROCESS: https://jobs.exelare.com/jobsWidget/index.html#companyId=cbiz_cnsi&userId=Admin   CNSI is focused on hiring and retaining the best and the brightest. For that, we offer employees a rewarding career path and benefits that exceed the industry norm. In addition to a solid compensation package, CNSI provides employees a range of benefit programs designed to support you and your family. Below are just a few of our programs.     Annual and Other Paid Leave Medical/Dental Insurance Flexible Spending Account (FSA) Plan Disability Insurance (Short & Long Term) Life Insurance 401(k) Retirement Savings Plan Employee Assistance Program College Savings Plan Tuition & Training Assistance Paid Holidays Employee Referral Program & More!     CNSI maintains a policy supporting equal employment opportunity. Employment decisions at CNSI are made without regard for race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or any other status protected by applicable Federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.    

WORK AT HOME - REMOTE POSITIONS - NO COLD CALLING - EARN A BASE SALARY + SALES BONUS  Answer Financial, an Allstate company, is currently expanding its Remote Insurance Sales Agent program. As a Remote Sales Agent with Answer, you will take inbound calls (no cold calls), offering shoppers the opportunity to compare prices and purchase auto and home insurance from the companies we represent.  This is an excellent career position that offers you continued growth and opportunity. Learn new skills through our successful sales training program, and join one of our high performing sales teams. We are one of the largest auto and home insurance agencies in the U.S. We’ve got almost 20 years of experience in insurance and the backing of our parent company, Allstate Insurance is a competitive space. Answer has thrived by partnering with respected, successful companies. Whether under their brands, our brand, or through a co-branded experience –we offer the premier auto and home insurance solution for all customers profiles. Partnering is in our DNA, and we do it better than anyone. WHAT WE PROVIDE: Starting salary $31,000 to $32,000 plus sales bonus Paid sales training program We cover the costs for ALL licensing We provide you with all computer equipment Full time positions (not contract), you are employed by Answer Financial Inc. Inbound calls – NO cold calling Benefits available beginning day one WHAT YOU PROVIDE: Successfully complete our 5 week (PAID) online sales training program Pass credit and criminal background checks Provide dedicated home work space no Excellent verbal communication skills Experienced with technology with ability to pick up new systems and processes quickly Locations: Answer has opportunities to work from home in a remote capacity.  In addition, applicants may choose to relocate to an Answer Sales Center. Answer has three sales centers located in Knoxville, TN; Encino, CA; and Ogden, UT.  Relocation to an Answer location is optional and would be the responsibility of the candidate. Answer Financial, Inc. is an Equal Opportunity Employer

Quality Analyst Regular Full-Time Clerical Houston, TX, US 3 months ago Requisition ID : 1277 General Job Summary: The primary responsibility of a Quality Analyst (“QA”) is to review Medical Disability Examination (“MDE”) reports and Disability Benefits Questionnaires (“DBQs”) generated by medical providers on Veterans evaluated on behalf of the Department of Veterans Affairs (the “VA”).  A QA works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA.  Essential Job Functions: Adhere to the company’s Standard of Conduct at all times, in all job functions; Exercise independent discretion and decision-making on behalf of the company with regard to medical provider interaction and relationships; Review MDE requests from the VA to ensure that all claims made by a Veteran to be evaluated are properly reflected on the appropriate DBQ(s); Review MDE reports and DBQs submitted by medical providers for typographical and grammatical errors, and internal consistency and continuity, ensuring that each has been fully completed and meets the requirements of the VA, including, but not limited to, ensuring that all claims made by a Veteran have been addressed on the appropriate DBQ and that the medical provider has rendered a diagnosis or a statement explaining why a diagnosis is not warranted;   Communicate with medical providers regarding their MDE reports and DBQs and, at the discretion and direction of the medical provider, facilitate any necessary corrections, prior to submission to the VA;  Verify that any special requests or necessary second reviews have been completed, consistent with the VA’s preferences; Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report;  Perform daily queue maintenance to ensure that every case assigned has any updated notes and any needed action has been taken; Communicate with the Medical Advisory Board on any case that needs additional review, may be outside the scope of the assigned medical provider’s training or expertise, or has presented a problem/issue with the assigned medical provider; Assist Provider Training team with ongoing training and development of medical providers by reporting all problematic medical provider trends/issues; and Consistently achieve weekly/monthly qualitative and quantitative goals set by management. Additional Duties and Responsibilities: Answer phone calls from medical providers;  Attend meetings as directed; Communicate and assist other departments in a collaborative effort to expedite cases; Work effectively within a team dynamic; Adapt to new instructions, requests or procedures as provided; Maintain a high sense of urgency at all times;  Ensure the confidentiality of Veterans’ records; and Other duties as assigned. Knowledge/Skills/Abilities: Self-starter; Intermediate knowledge of pertinent medical terminology; Advanced verbal and interpersonal skills; Advanced written communication skills, to include excellent grammar; Advanced reading and comprehension abilities; Advanced analytical skills and detail-oriented; Advanced multi-tasking skills; Advanced organizational and prioritization skills, with strong ability to meet strict deadlines with minimal supervision; Proficient typing skills; and Proficient with Microsoft Word, Microsoft Outlook, Adobe Acrobat, general internet research, and beginner knowledge of Microsoft Excel.  Working Conditions: Casual office environment, with some exposure to mild noise from office equipment and moderate noise generated by staff members; and  Frequently utilizes phone, fax machine, computer, printer, and copy machines. Minimum Level of Preparation and Training: Bachelor’s degree or equivalent experience required. PLEASE CLICK ON LINK BELOW TO BE DIRECTED TO OUR WEBSITE FOR YOUR APPLICATION PROCESS:  https://workforcenow.adp.com/mdf/recruitment/recruitment.html?cid=8db088e2-822f-4105-a5de-69ad6c4e7b84&ccId=19000101_000001&type=MP&lang=en_US