Staff Accountant with Growing Financial Services Firm!
Details: Classification: Accountant - Staff Compensation: DOE A growing financial services organization is looking to add a new Accounting Associate to their expanding team! This fast paced environment is looking for a team player to keep up with this high energy atmosphere. The Accounting Associate, will be responsible for processing payments, maintaining records, bank reconciliations, journal entries, working with outside auditors and assisting the Controller. Candidates should have at least 1 year of experience, ideally in a CPA firm or other professional services organization. Candidates with an Associates degree or higher in Accounting will be given preference as well. Interviews will be starting the last week of May! For immediate consideration for the Accounting Associate position, email your resume as a word document to Ashley.B
Systems - Business Analyst
Details: Classification: Financial Business Analyst Compensation: $59.38 to $68.75 per hour Our distribution client in Livermore is seeking a systems conversion specialist to optimize their recent software conversion from QuickBooks to MAS200. Our consultant must have experience with SAGE software implementation and data extraction. Strong GAAP accounting expertise also desired. Distribution industry and inventory experience highly desired. Estimated length of engagement is two weeks. Hourly rate is $55-70 DOE. Must be available to start by June 4th.If you are interested, meet the qualifications and are immediately available, please send resume to
Accounting Manager
Details: ACCOUNTING MANAGER / ASSISTANT CONTROLLER - North Phoenix I am currently recruiting for an Accounting Manager/Assistant Controller with one of our top clients. Our client is well-recognized for hiring top-notch talent. This company provides opportunities for advancement as well as a strong benefits package.Responsibilities:Lead month-end close, perform reconciliations, prepare financial statements and variance reports and forecast month-end earningWork closely with other functional areas and business management to resolve issues and support achievement of business goalsQualifications:BS/BA in Accounting or Finance; Master's degree preferredCPA required5+ years experiencePublic Accounting experience preferredStrong organizational and communication skillsAbility to work on multiple projects simultaneouslySoftware industry experience preferred including solid understanding of revenue recognition principles in the software industryLocal candidates only.
Customer Care Professionals - Greensboro, NC
Details: The role of the Customer Care Professional is to build trusted relationships with members across their health care lifecycle. This is done by assisting in plan selection and enrollment, educating members about management of their health and well being, helping members to maximize health plan benefits and personal health care dollars and owning customer service inquiries through to resolution. Responsibilities: • Assist members with selecting the best benefit plan options available to them through the enrollment process, including enrollment in specialized care programs • Resolve member service inquiries related to: o Medical benefits, eligibility and claims o Financial spending accounts o Pharmacy benefits, eligibility and claims o Correspondence requests • Educate members about the fundamentals of consumer-driven health care including: o Managing health and well being o Maximizing the value of their health plan benefits o Choosing a quality care provider o Premium provider education and steerage • Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member • Help members navigate myuhc.com and other UnitedHealth Group websites • Intervene with care providers on behalf of the member • Research complex issues across multiple databases and work with support resources to resolve member issues • Assist members with provider appointment scheduling • Connect members with internal specialists for assistance when needed • Partner with others to resolve escalated issues • Provide education and status on previously submitted pre-authorizations or pre-determination requests
Front Desk Customer Service - Las Vegas, NV
Details: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Positions in this function are responsible for providing expertise and customer service support to members, customers, and/or providers. Direct walk-in customer interaction to answer a variety of inquiries. Handles incoming and outbound calls facilitating a positive client experience. Primary Responsibilities:Provide excellent customer serviceConstantly meet established productivity, schedule adherence, and quality standardsRespond to complex customer callsResolve customer service inquiries which could include:Benefit and Eligibility informationBilling and Payment issuesCustomer material requestsPhysician assignmentsAuthorization for treatmentExplanation of Benefits (EOB)Facilitates payor responsibility and referral process by obtaining accurate demographic, insurance and pay source information.Obtains prior authorization and secures CO pay as defined by policy.Accurately document all patient and referral information in computer system
Senior Customer Service Representative - Cypress, CA
Details: The Senior Customer Service Representative　is responsible for handling all incoming Billing and Eligibility phone calls and for serving as the primary customer interface for departmental inquiries.Responsibilities: Ensures quality customer service for internal and external customers:  Responds to incoming customer service requests, both verbal and written. Identifies and assesses customers' needs quickly and accurately.  Solves problems systematically, using sound business judgment.  Partners with other billing and eligibility department representatives to resolve complex customer service inquiries.  Monitors delegated customer service issues to ensure timely and accurate resolution.  Applies appropriate communication techniques when responding to customers, particularly in stressful situations.  Informs and educates new customers regarding billing/invoicing set up and billing/payment procedures.  Places outgoing phone calls to complete follow-up on customer service requests as necessary.　  Responds to customer service inquiries in writing as necessary.  Processes member terminations (i.e. phone disenrollment).  Establishes and demonstrates competency in eligibility, billing and receivable systems and associated applications. Implements customer service strategies and recommends related improvements/enhancements.  Maintains timely, accurate documentation for all appropriate transactions.  Makes corrections and adjustments.  Consistently meets established productivity, schedule adherence, and quality standards.  Proactively seeks to further develop billing and accounts receivable competencies. Keeps management abreast of all outstanding issues.  Adapts procedures, processes, and techniques to meet the more complex position requirements.  Participates in load balancing.  Addresses special (ad-hoc) projects as appropriate.  Seeks involvement in continuous quality improvement initiatives.  Ensures quality customer service for internal and external customers.
Customer Care Professionals - Maryland Heights, MO
Details: The role of the Customer Care Professional is to build trusted relationships with members across their health care lifecycle. This is done by assisting in plan selection and enrollment, educating members about management of their health and well being, helping members to maximize health plan benefits and personal health care dollars and owning customer service inquiries through to resolution. Responsibilities: Assist members with selecting the best benefit plan options available to them through the enrollment process, including enrollment in specialized care programs Resolve member service inquiries related to: Medical benefits, eligibility and claims Financial spending accounts Pharmacy benefits, eligibility and claims Correspondence requests Educate members about the fundamentals of consumer-driven health care including: Managing health and well being Maximizing the value of their health plan benefits Choosing a quality care provider Premium provider education and steerage Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member Help members navigate myuhc.com and other UnitedHealth Group websites Intervene with care providers on behalf of the member Research complex issues across multiple databases and work with support resources to resolve member issues Assist members with provider appointment scheduling Connect members with internal specialists for assistance when needed Partner with others to resolve escalated issues Provide education and status on previously submitted pre-authorizations or pre-determination requests
Member/Provider Services Team Lead - Baltimore, MD
Details: Position Description: Under the guidance of the Supervisor of Member & Provider Services, the position functions as a Team Lead in the Member & Provider Services department. The Team Lead is the Subject Matter Expert of all content knowledge for the Service Reps. The Team Lead also assists in managing work-flows and team objectives. The Team Lead assists our members and providers with all levels of problem solving, inquiries, provider information and general insurance services. Handles difficult callers, diffuses them and follows through on all issues in a timely manner. Primary Responsibilities: Subject Matter Expert in content and processes of the call centerMaintains a positive atmosphere in the call centerAssists the team in meeting team set production, attendance and quality assurance standards. Assists the supervisor with the daily management of the assigned team by providing consistent feedback regarding stats and QAThoroughly reviews and investigates complex problems and routes appropriately for resolution, with little intervention from Supervisor.Maintains attendance standards set by company policies.Handles all calls courteously, politely and professionally.Acts as back-up support for the Supervisor, as needed for meetings, ACD queue observation and monitoring, and other departmental responsibilities. Attends trainings and meetings.Attends meeting in absence of Supervisor, representing the Customer Service department.Other duties as assigned.
Customer Service Representative - Shavano Park, TX
Details: Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)Positions in this function are responsible for providing expertise and customer service support to members, customers, and/or providers. Direct phone-based customer interaction to answer and resolve a wide variety of inquiries.Primary Responsibilities:Provide excellent customer service Constantly meet established productivity, schedule adherence, and quality standardsRespond to complex customer calls Resolve customer service inquiries which could include: Benefit and Eligibility information Billing and Payment issues Customer material requests Physician assignments Authorization for treatment Explanation of Benefits (EOB)Conducts direct outbound phone activity of Care Improvement Plus Special Needs Plan products and services to beneficiaries and providers in Plan service areasProvides support via inbound/outbound customer calls; must be able to meet established call metrics and quotasEnsures accurate and appropriate documentation support that translates into successful development and maintenance of Care Improvement Plus products and servicesMeets CMS and state requirements and ensures Medicare beneficiaries understand the products and services they are receiving, including guiding beneficiaries through the enrollment processPrepares reports setting forth progress, trends, and recommendationsIdentifies problems, troubleshoots, and provides guidance to customers; Adheres and suggests improvement to policies and procedures regarding problem identification, documentation, distribution, and correction to ensure immediate resolutionServes as liaison with all other division operations and services to keep abreast of policy and procedural changes; Maintains working knowledge of Medicare/Medicaid regulations, managed care industry, pertinent legislation, and the competitive environmentModerate work experience within own function.Some work is completed without established procedures.Basic tasks are completed without review by others.Supervision/guidance is required for higher level tasks.
Sales/Business Development Manager- Evercare (Miami Dade)
Details: The New Business Implementation Manager will support the Sales Lead or Business Development Manager in a market to execute new facility implementation plans. This will include utilization of development tools and timelines to ensure membership goals are maximized. Essential Functions:•Serve as central point of contact for SNF and Evercare team members for new nursing facility implementation plans. • Identification of Facility Champion(s) • Communication of implementation timeline and key milestones to SNF and Evercare team and ensures that all are met • Effectively establishes and communicates sales compliance processes and strategies for HIPAA and MIPPA • Introduces Evercare Team to SNF staff • Schedule and conduct/coordinate facility orientation, marketing and education meetings • Work with Sales Account Manager to ensure volume of leads exists to meet membership goals • Establishes a smooth transition plan to SAM and SL as key contacts moving forward • Works under the direction of the Sales Leader and/or Business Development Managers to drive new business opportunities as part of a cross functional approach to supporting the growth goals.• Contributes to the development of a viable market analysis in the service area to determine opportunities and prioritize based on key criteria (clinical, # of leads, etc).• Serves as a subject matter expert on Evercare plans and contracting options for providers.• Conducts group and individual presentations to large and/ or small groups with a wide range of professionals (from regional CEOs, to local SNF administrators).• Establishes and maintains effective client/business relationships.• Works closely with the corporate network team to identify gaps in contracted ancillary and PCP providers. • Travels throughout assigned territory to educate, negotiate, develop and maintain relationships. • Participates in industry association meetings/conferences as necessary and appropriate. • Provides education on HIPAA/MIPPA regulations and guidelines to SNFs and PCPs.• Executes basic administrative duties as defined by the Sales Lead, including detailed management of appropriate reporting/database systems, customer information, territory planning, etc.• Maintains a thorough knowledge of plan benefit, program changes, contracting options, and industry insights. • Ensures compliance and quality of sales process components, adhering to all applicable state and federal regulatory requirements and Evercare Policies and Procedures• Performs other job related instructions as requested, with reasonable accommodation.
Senior Medicaid Proposal Writer (MN or Telecommute)
Details: PURPOSETo increase our proposal win rate by writing RFP responses which are persuasive, compelling and customer-focused.POSITION SUMMARY As part of the Community & State Proposal Development team, the Medicaid Proposal Writer is responsible for coordinating proposal development activities including drafting Medicaid proposals for new and existing clients (e.g., government, employers), directing the preparation of supporting documents and analyses and maintaining baseline content for use in future proposals. A critical component of this position is the ability to work with focus and poise within a fast-paced, deadline-driven, and complex environment in which close collaboration and continuous communication are critical. Healthcare background, strong interpersonal skills, and excellent business-to-business writing skills are required.SCOPE• Write, edit and present compelling proposals for Medicaid RFP's throughout the country • Interact with Sales, Pricing Legal and other functional teams to tailor contractual provisions to reflect the needs of the prospective client• Obtain appropriate resources and adhere to varying timelines RESPONSIBILITIES• Review requests for proposals (RFPs) and related documents furnished by the procuring agency; analyze to understand and capture specific operational, administrative, and proposal requirements• Interview subject matter experts (SMEs) in business functions throughout the organization to determine Community & State/UnitedHealthcare business and operational approach to satisfy the requirements• Contribute ideas regarding business solution based on own ideas, experience, and research• Develop and maintain baseline proposal content for assigned functional area• Review prior Community & State proposals to extract relevant content for use in proposal development; work with content manager to determine relevant elements• Outline proposal sections or answers to address all elements of direct, derived, and implied requirements• Draft concise, complete, and clear proposal responses to the requirements and/or questions in accordance with Community & State proposal development standards, stylistic guidelines, and formatting conventions• Inspect and edit own work for clarity and conformance to requirements; work with proposal leadership to address editing issues• Collect and submit proposal exhibits, attachments, appendices relevant to assigned sections for tracking and for formatting, if required• Participate in individual and group proposal reviews and incorporate changes and improvements to proposals• Work with proposal formatter to address proposal layout and publishing issues• Work with proposal graphic designer to provide concepts for creating supporting graphics for proposals• Escalate conflicts and issues to proposal leadership as required• Complete work according to deadlines provided by proposal leadership• Assist as requested in general proposal activities, including editing, proposal assembly, and quality assurance, etc.• Participate in ongoing continuous improvement of the Community & State proposal development process
Senior Cisco Network Engineer - CCIE
Details: Our client, an established, well-respected high end network consulting firm, is continuing to build business at an impressive rate within the MD/DC/NoVA area, and is seeking an additional CCIE or CCIE level network design architect to add to their already impressive team. This key contributor will asked to take on the role of practice lead for the companies network infrastructure team.Selling features of company: This person should be capable of moving into a practice lead role This is an opportunity to build and strengthen an already strong practice within the company You will be joining a group of hard core technologists from the president on down Exceptional corporate culture - Company management philosophy is built around "meritocracy", where effort and success are the primary drivers for reward and promotion, regardless of tenure Interesting work - They don't chase low margin "break / fix" work. They have had a hand in designing and implementing some of the largest network infrastructures in the country. Supportive of education and certifications - approximately 30% of staff is CCIE certified, including some of the earliest CCIE's still actively certified. Continuing education plan is part of your review process. Excellent compensation package
Stand Up Forklift Operator *** 2nd Shift *** Up To $13/hr
Details: Stand Up Forklift Operator ... are you ready to hit the ground running? Join a world class organization in Elk Grove Village that is exploding with activity! Stand Up Forklift Operators will drive stand-up forklifts to unload and stage materials. These 2nd shift positions do include weekends and pay up to $13/hour (depending on experience) and excellent benefits are offered.
Senior Claims Recovery/Resolution Representative - Eden Prairie, MN
Details: PositionDescription: Flexible?Friendly? Fast on your feet? That's a great start. Accurate? Accountable? SelfDirected? These traits can take you places. Our claims operations are the focalpoint of handling information about services patients receive and they waythose services get paid. It's complex, detailed work. It's fast pacedchallenge. It's a job that calls on you to be thoughtful, resourceful,team-driven and customer-focused. To put it mildly, there is never a dullmoment.PrimaryResponsibilities:Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities Analyze and identify trends and provides reports as necessaryEnsure adherence to state and federal compliancepolicies, reimbursement policies and contract compliance
