Corporate Ethics Helpline Administrator jobs in Bethlehem, PA

Corporate Ethics Helpline Administrator administers the corporate-wide anonymous reporting systems ("helpline"), allowing all stakeholders to disclose violations of the corporation's ethical standards, laws, or policies without fear of retaliation, as required by Sarbanes Oxley. Manages the flow of "helpline" inquiries to completion, and ensures that all allegations of unethical or illegal activity is referred to the appropriate resources within the ethics and compliance function. Being a Corporate Ethics Helpline Administrator serves as the internal database coordinator for ethics and compliance tracking information systems. Monitors progress of investigation and documents and maintains accurate records of issues handled. Additionally, Corporate Ethics Helpline Administrator prepares and maintains reports and statistical analysis of "helpline" activity. May require a bachelor's degree in area of specialty. Typically reports to a manager or head of a unit/department. To be a Corporate Ethics Helpline Administrator typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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Provider Service Helpline Representative
  • Health Partner Plans, Inc.
  • East Stroudsburg, PA FULL_TIME
  • Why Choose Jefferson Health Plans?
    We are an award-winning, not-for-profit health maintenance organization. We are committed to creating a community where everyone belongs, acknowledges, and celebrates diversity and has opportunities to grow to their fullest potential.
    We offer Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We’re also committed to boosting the health of our community through outreach, education, and events. Founded over 35 years ago, Jefferson Health Plans continually develops new ways to encourage better health outcomes and has received national recognition for our innovations in managed care.
    While this job currently provides a flexible remote option, due to in-office meetings, training as required, or other business needs, our employees are to be residents of PA or the nearby states of DE or NJ.
    Perks of Jefferson Health Plans and why you will love it here:
    • Competitive Compensation Packages, including 401(k) Savings Plan with Company Match and Profit Sharing
    • Flextime and Work-at-Home Options
    • Benefits & Wellness Program including generous Time Off
    • Impact on the communities we service.
    We are seeking a talented and enthusiastic Provider Service Help Line Representative to join our team!
    Respond to providers’ incoming calls and take appropriate action to resolve providers’ issues across lines of business. Educate callers about the plan and retain providers using effective customer service techniques to provide a high level of service. Dual role supporting incoming calls from both member’s and providers.
    As the Provider Service Help Line Representative your daily duties may include:
    • Provide accurate and complete information in response to providers’ inquiries, complaints and/or problems.
    • Collaborate with internal departments to facilitate resolutions to provider issues and concerns.
    • Respond to provider related calls in a courteous, professional & efficient manner providing timely follow-up to requests for information and service.
    • Respond to provider inquiries regarding member eligibility, Third Party Liability (TPL) and benefits.
    • Document all calls in accordance with departmental requirements.
    • Review claims in the core processing system and provide high level claim status to provider inquiries.
    • Review claims details and submit for reconsideration as appropriate.
    • Provide member authorization statuses upon request.
    • Confirm which services require prior authorization upon request.
    • Educate providers on Provider Portal capabilities (i.e. reset passwords and duplicate EOP request)
    • Reference and review the providers contract and provide basic information to contractual inquires.
    • Operate telephone systems effectively and efficiently, following established protocols for security, transfer and information exchange with the Utilization Management, Pharmacy and Claims Services departments.
    • Meet individual performance standards, such as satisfactory volume of calls, and telephone and paperwork audits.
    • Advise providers upon request of their Jefferson Health Plans network participation status, status of their credentialing application and fee schedule rate inquiries.
    • Educate providers on Jefferson Health Plans programs and policies, as appropriate.
    • Maintain resources relevant to the job, such as the provider manual and the department’s training manual to ensure accurate responses to provider inquiries.
    • Participate in ongoing projects, training, staff and/or committee meetings.
    • Perform other job duties as necessary.
    Qualifications
    • High school diploma or 3 years of Equivalent work experience required.
    • Minimum of 2 years of call center experience, inbound/outbound telephone experience or equivalent face to face customer service experience within a provider-facing environment.
    Skills, We Value:
    • Demonstrated organizational, analytical, written, and verbal communication skills and interpersonal skills required.
    • Claims experience preferred. Possess the ability to work independently and as part of a team.
    • Working knowledge of HCPCs and ICD-10 coding preferred.
    • Medicaid, CHIP, Medicare knowledge is a plus.
    • Strong relational database experience, Proficient in Microsoft Outlook and Excel and working knowledge of Microsoft Word
  • 1 Month Ago

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Optometrist - Full-time - Corporate Practice - Trexlertown, PA
  • Corporate practice
  • Trexlertown, PA FULL_TIME
  • Optometrist - Full-time - Corporate Practice - Trexlertown, PA*New grads and experienced doctors are encouraged to apply!We are looking for comprehensive primary eye care specialists who are able to s...
  • 1 Month Ago

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Corporate Counsel
  • Andesa
  • Allentown, PA FULL_TIME
  • Company Overview: Andesa is a leading, employee-owned provider of policy lifecycle solutions for the life insurance and annuities industry that offers modern cloud-based systems for transaction manage...
  • 5 Days Ago

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Part Time Registered Nurse (RN) Supervisor | Allentown | eKidzCare
  • Corporate Positions
  • Allentown, PA PART_TIME
  • eKidzCare is hiring talented Registered Nurse (RN) Supervisors for our office in Lehighton, PA. This position includes local travel throughout the Allentown and surrounding areas.Benefits Health Insur...
  • 26 Days Ago

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Primary Care - Nurse Practitioner
  • AMN Corporate
  • Allentown, PA TEMPORARY
  • Do you want to help shape the future of exceptional care? Step into an incredible opportunity at an innovative and nationally acclaimed healthcare powerhouse spanning 95 clinical specialties.One of th...
  • 27 Days Ago

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Dental Assistant X-Ray Certified
  • Corporate Dentistry
  • Allentown, PA FULL_TIME
  • This Dental Assistant position, you’ll have the support you need to reach your career goals. From best-in-class learning and development programs, a commitment to promoting from within, and a competit...
  • Just Posted

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0 Corporate Ethics Helpline Administrator jobs found in Bethlehem, PA area

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HYBRID Data Entry Specialist
  • Careerbuilder
  • Bethlehem, PA
  • Aston Carter HYBRID Data Entry Specialist Bethlehem , Pennsylvania Apply Now TEKSystems is hiring a Data Entry Specialis...
  • 4/29/2024 12:00:00 AM

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Receptionist
  • Aston Carter
  • Levittown, PA
  • Our client in PA is seeking a Receptionist to join their team! The Receptionist is responsible for the front desk recept...
  • 4/29/2024 12:00:00 AM

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Data Entry Specialist – Agricultural Irrigation Program
  • Aston Carter
  • Readington, NJ
  • Join our team in Readington Township, New Jersey as a Data Entry Specialist for our Agricultural Irrigation Program. The...
  • 4/27/2024 12:00:00 AM

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Hybrid Data Entry Specialist
  • Aston Carter
  • Readington, NJ
  • Job Title: Data Entry Location: Readington Township, NJ Job Type: Full-time Salary: $20.00 - $21.50 per hour Schedule: H...
  • 4/27/2024 12:00:00 AM

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Administrative Assistant
  • First Service Corporation
  • Conshohocken, PA
  • The administrative assistant will be responsible for assisting management and the administration of the day to day opera...
  • 4/27/2024 12:00:00 AM

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Coordinator, Partnership Services - Mountain Hawks Sports Properties (Full Time)
  • LEARFIELD
  • Bethlehem, PA
  • Mountain Hawks Sports Properties is LEARFIELD's local, dedicated entity representing Lehigh University. In complete coll...
  • 4/25/2024 12:00:00 AM

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Administrative Assistant/Legal Secretary
  • Fitzpatrick Lentz & Bubba, PC
  • Allentown, PA
  • Job Description Job Description Join our growing team at Fitzpatrick Lentz & Bubba as a Legal Administrative Assistant! ...
  • 4/25/2024 12:00:00 AM

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Front Desk Coordinator I
  • IVX Health
  • Lansdale, PA
  • Job Details Level Entry Job Location Montgomeryville - Lansdale, PA Position Type Part Time (20 to 30) Education Level H...
  • 4/25/2024 12:00:00 AM

Bethlehem is a city in Lehigh and Northampton counties in the Lehigh Valley region of the eastern portion of the U.S. state of Pennsylvania. As of the 2010 census, the city had a total population of 74,982, making it the seventh largest city in Pennsylvania, after Philadelphia, Pittsburgh, Allentown, Erie, Reading, and Scranton. Of this, 55,639 were in Northampton County, and 19,343 were in Lehigh County. Bethlehem lies in the center of the Lehigh Valley, a region of 731 sq mi (1,890 km2) that is home to more than 800,000 people. Together with Allentown and Easton, the Valley embraces the All...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Corporate Ethics Helpline Administrator jobs
$76,874 to $118,687
Bethlehem, Pennsylvania area prices
were up 1.5% from a year ago