Location: Canton, MA
Company: Point32health
and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary Under the direction of the Supervisor, ASO Billing, The ASO Billing Analyst, is responsible for the execution of multiple and complex operational processes associated with ASO Billing. The Analyst II ensures timely and accurate completion of weekly ASO Billing invoice validation, responds to internal and external customer service inquiries and
reporting requests, initiates and monitors bank transactions and ensures AR records are accurate and up to date. The Analyst participates in key Finance Operations initiatives, including but not limited to operational improvements, new product development and implementation, new vendor partnership implementations and technological advancements.
This position requires a strong business and technical skills with the ability to work across multiple systems/interfaces. This is a cross functional role that interacts with internal and external business partners, requiring strong communication skills. Key Responsibilities/Duties - what you will be doing FINANCE OPERATIONS ANALYST II RESPONSIBILITIES:
Perform accurate completion of production cycles and related processes within prescribed deadlines, including reconciliations, and control reporting.
Identify production issues and coordinate resolution with management and team members, internal/external business partners, and IT. Analyze data, validate, interpret results, and communicate results effectively. Develop and maintain highly collaborative working relationships with the internal and external stakeholders and business partners Assist with corporate projects and departmental initiates to ensure successful implementation and integration of all business processes. Interact effectively with Program and Project Managers and assist with other department projects as needed.
Assist with ongoing system maintenance, configuration, and enhancements. Update and maintain policies, procedures, and workflows. Perform cross-training, implement process improvements, and ensure corporate controls and polices are adhered to. Responsible for responding to internal and external audit requests Provide superior customer service to internal and external customers. OTHER RESPONSIBILITIES: Perform operational activities associated with ASO client invoicing, including initiating bank transactions, monitoring accounts for incoming client payments and completing AR entries and validation Research transactions associated with claims, enrollments, cash/accounts receivable, and payments to facilitate correct transaction processing Triages and follows up on internal and external inquiries related to ASO Billing Assists in the completion of ad hoc reporting requests related to ASO Billing Assists in the month-end closing activities, and the analysis and reconciliation of data associated with those processes Qualifications - what you need to perform the job EDUCATION: (Minimum education & certifications required) Bachelor's degree in accounting or business administration preffered.
EXPERIENCE: (Years of experience) 2-3 years of accounting or finance work experience which demonstrates the abilities to perform in the position. Managed health care experience is preferred, operations and/or analytical experience a plus SKILL REQUIREMENTS: (Include interpersonal skills) Highly organized with exceptional attention to detail Ability to follow up/follow through to ensure timely accurate completion of tasks Strong problem-solving and investigative skills required Ability to prioritize work, manage multiple tasks and meet deadlines operating under very tight timelines Strong work ethic, desire to learn and be challenged, self-motivated with the ability to work independently with a bias for taking initiative Proficiency with Microsoft suite of products.
Mastery in use of Microsoft Excel. Oracle e Business experience is highly desirable. Excellent written and verbal communication skills Personable, able to collaborate as a colleague and business partner to interact with peers and internal/external stakeholders Discretion and confidentiality Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation.
Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent.
We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status. PDN-9ad352db-a54f-4fc0-a5e2-5e561d7fd11e
Other Jobs is a term often used to describe employment positions that do not fall into the traditional categories of work or are alternative forms of employment. These jobs can vary widely and may include freelance gigs, odd jobs, temporary roles, or any unconventional job position. The key characteristics of Other Jobs include flexibility, diversity of tasks, and potentially irregular working hours. They may not require a specific set of skills or a long-term commitment and often provide individuals with unique opportunities to gain experience in various fields.
through daily workflow, which includes organizing the day, patients, orders, labs and making sure the schedule for the next day, is completed. Reviews patient order, questionnaire form and labs if required on all patients prior to scanning. Competent in venipuncture.
Competent in Point of Care Testing. Responsible for performing all CT exams including drainages and biopsies. Properly identifies the patients prior to scanning. Prepares patients for exams ordered and insures patient safety at all times. Follows departmental protocols for each exam to obtain a high quality exam with the lowest possible dose. Works with manager to implement changes made to workflow or other department changes
needed. Scans patients according to protocols to provide high quality exams. Assists radiologist during procedures as required. Reviews exams after scanning prior to sending to PACS for image quality and completeness.
Documentation of contrast allergies and extravasations. Reviews exams with Radiologist as necessary, contributing technical and professional knowledge. Responds appropriately to medical emergencies and displays ability to function effectively and appropriately in stressful situations. Demonstrates ability to communicate effectively with patients, patient’s families, staff, physicians and medical office personnel. Demonstrates knowledge of what constitutes appropriate clinical
history for each CT exam. Follows all departmental and hospital policies and procedures as required.
Practices ALARA, is aware of patient CT Dose. Image wisely/Image Gently required. Checks patient tracker before imagining for cancellations. Stocks and cleans rooms. Maintains Joint Commission readiness in the department. Follows ACR Accreditation regulations, and all other regulatory bodies. Annual competencies completed. Responsible for providing 2 cycles of CEU’s to manager for licensure. Participates in Lung Screening program (LCSR), documentation, entering data into website. It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.
Experience/Knowledge/Skills Required: Two years of CT experience. Education Required Graduate of AMA-approved Radiology Technology Program. Registration/Certification R. T. (R) (CT) (ARRT). Current Massachusetts license, Radiography and CT. BLS certification. Registration as CT Technologist. FLSA Status: Non-Exempt As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
Learn more about this requirement. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled For more details: jobs-search. org/manufacturing_south-easton-c434274/c-t-technologist-south-easton_i1959356234
appreciation, incentives, and benefits are just a bonus on top of making residents and team members smile. I have become lifelong friends with this team, and I can happily say I love my job and enjoy coming to work. -Arrow Team Member Position- Memory Care Support Partner Position Type: Part Time Location: Kent, Ohio Our starting wage for Memory Care Support Partners is: $18.00 per hour!
Shift Schedule- Week 1 Thursday/Friday Week 2 Monday/Saturday/Sunday 2 pm 10 pm Come join our team at The Kent Ridge Senior Living located at 5241 Sunnybrook Rd. Kent, Ohio 44240! We are looking for someone (like you): To be an Advocate of Empathy: Be responsible for understanding the importance of empathy.
It will be your job to create human connection with residents during their most vulnerable moments To be a Patient Observer. Discover residents interests, abilities, and what makes each resident who they are.
Collaborate to create appropriate engagement plans and implement strategies with patience to ensure success To be a Master of the Mise en Scne. The French expression used to describe the art of creating a story through the physical environment, mise en scne means being responsible for setting the stage for a successful day. From preparing your dining room for breakfast to setting up the library for an event, to preparing the residents room for their nighttime routine, you are the
guide through the residents experience To be a Life Partner.
Partnering with residents to achieve all facets of daily life from the moment they wake to the moment they go to sleep To be excellent at documenting resident care and changes in condition To assist with orientation of team members assigned to memory care neighborhoods What are we looking for? You must be at least eighteen (18) years of age. You will have a high school diploma, or equivalent. You can read, write, understand, and communicate in English with our Residents! You will have a positive and energetic attitude who will LOVE our Residents! You will possess computer skills to be able to print documents and enter information about our Residents.
You must be active as this role requires standing, walking, bending, kneeling, and stooping all day. You must have the ability to frequently lift and/or move items up to 50 pounds. You must be able to assist residents with sitting, standing, and walking, as well as assisting persons after a fall. You must be criminally cleared. Employment Benefits (We value our benefits): Company Match 401(k) with 100% match up to the first 3% and fully vested upon enrollment Medical, Dental, Vision insurance (1st of the month following 60 days of employment-Full Time) Disability insurance (Full Time) Employee assistance program Weekly Employee Recognition Program Life insurance (Full Time) Paid time off (Full Time employees accrue up to 115 hours each year and Part Time accrue up to 30 hours each year) Tuition Reimbursement (after 90 days for FT AND PT employees) Employee Referral Program (FT, PT, and PRN) Complimentary meal each shift (FT, PT, and PRN) Daily Pay Option Direct Deposit Did we mention that we PROMOTE FROM WITHIN?
Do you want to see how much fun we are at The Kent Ridge Senior Living? Please visit us via Facebook: Or, take a look at our website: Have questions?
Want to speak to someone directly? Reach out by calling/texting your own recruiter, Kevin Banks: 614-###-####. Click here to hear about Arrow's Core Values!
and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
To learn more about who we are at Point32Health, click here. Job Summary Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively
with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions.
This individual prepares cases for presentation, discussion, review and final disposition at the Member Appeals Committee (MAC) and Member Appeals Reconsideration Committee (MARC) and participates in the Appeals Committee discussion when needed. Responsibilities include development and coordination of all written documentation and correspondence to the member outlining final disposition of the member's appeal or grievance providing further appeal options as appropriate. Analysts routinely interact with members, providers, and
other internal and external constituents about highly escalated issues.
Essential functions will occur simultaneously; therefore, the employee must be able to appropriately handle each of these functions, prioritize them, and seek assistance when necessary. The employee must have the ability to learn and apply Point32Health's policies and remain compliant with frequently changing State and Federal regulatory requirements and have the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for all lines of business.
Key Responsibilities/Duties - what you will be doing Act as a member advocate; clearly communicating the appeal and grievance process and procedures both orally and in writing. Manage assigned member appeals and grievance cases from documentation, to investigation, and through resolution, ensuring the final disposition of a member's appeal or grievance is compliant with the regulatory requirements set-forth by NCQA, DOI, CMS, DOL and any state or federal specific regulations that apply. Review and interpret product and benefit designs for all lines of business according to State and Federal regulatory requirements Manage the collection of documents and records (medical, claims, administrative) needed to fully research the appeal or complaint request with both internal and external customers Consult with subject matter experts as necessary to gather information required for appropriate resolution of the matter presented.
Make recommendations on appeal decisions based on the member's benefits and individual circumstances presented. Qualifications - what you need to perform the job EDUCATION, CERTIFICATION AND LICENSURE: Associates Degree or equivalent experience in health care, conflict resolution or related field EXPERIENCE (minimum years required) : 3-5 years health care or insurance experience Health care benefit and regulatory knowledge preferred Knowledge of insurance products, policies and procedures preferred.
SKILL REQUIREMENTS: Demonstrated proficiency in operating a computer and related equipment including knowledge and demonstrated ability in the use of Windows applications and other comparable systems/applications. Must possess initiative, balanced judgment, objectivity and the ability to independently plan and prioritize one's own work to assure maximum efficiency and compliance.
Must be able to organize, plan and implement the functions of Member Appeals and Grievances, maintain timelines and turnaround times to meet multiple requirements/regulations established by external regulating bodies and applicable state and federal laws Demonstrated ability to synthesize and process complex information and deliver the information, both verbally and written, in a clear, concise, and articulate manner. Requires strong verbal and written skills to effectively communicate at both detail and summary levels to a variety of constituents. Requires excellent interpersonal skills in order to communicate and work with multiple constituents.
Requires ability to understand and be compliant with State and Federal regulations. Superior investigation, analytical and problem-solving skills Excellent customer service and interpersonal skills Working knowledge of plan products and benefits and the ability to communicate this information to members, providers, employers and external agencies clearly and concisely. Ability to work independently and collaborate as part of a team WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.
g. lifting, travel) : Must be able to work under normal office conditions and in a remote capacity from home as required. Work requires simultaneous use of a telephone/headset and laptop/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule. Weekend Coverage may be required on a rotating basis as regulated for line of business. May require occasional weekend hours or evening hours as the needs of the various lines of business dictate. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification.
They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Salary Range Compensation & Total Rewards Overview The annual base salary range provided for this position represents a broad range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; equity with internal colleagues; and other conditions of employment.
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit www.
point32health. org/careers/benefits/ Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation.
Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status.
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