Insurance claims clerk jobs near me - 78 jobs

About Us All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. Our company is fully remote and offers a flexible work environment as well as schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick time, and vacation time as well as a 401k plan. Additional employee paid coverage options available. Job Purpose The Claims Clerk plays a vital role in supporting the claims team by handling daily administrative tasks, including reviewing and responding to claims portal messages, processing incoming faxes, and organizing documentation. This position ensures efficient communication and smooth workflow within the department, helping to maintain timely and accurate claims processing. Duties and responsibilities Monitor and respond to claims portal messages daily. Assist Customer Service department with portal registrations. Process and categorize incoming claims-related faxes. Assist with Claims related inquiries from other departments. Requesting and reviewing medical records as needed for basic information to validate billing information. Reviewing claims for required information, pending claims when necessary, maintaining a follow-up system, and updating and releasing pending claims when indicated. Serve as a primary point of contact for providers, members, and internal staff regarding claims status, documentation requirements, and resolution steps. Respond to inbound claims phone calls, emails, and portal inquiries in a professional and timely manner. Provide clear explanations of claim outcomes, payment decisions, and next steps while maintaining a high level of customer service. Research and resolve claim-related issues by gathering information, reviewing documentation, and escalating as needed. Document all interactions in the system to ensure accurate records of customer communications and resolutions. Must maintain an error accuracy of under 5%. Support claims examiners and workflow projects. Attend weekly or monthly departmental meetings and provide feedback when requested. Complies with all Company and Department Policies and Procedures. When needed assist in claims audit activities. Support other departments as needed. All other duties as assigned. Qualifications Experience in administrative support, claims processing, or a related field preferred. Excellent communication skills including reports, correspondence, and verbal communications. Experience with EZ-Cap and Encoder preferred. Proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office (including Word and Excel) and Adobe Detail oriented and highly organized Strong ability to multi-task, project management, and work in a fast-paced environment Strong ability in problem-solving. Ability to self-manage, strong time management skills. Ability to work in an extremely confidential environment. Must work well under pressure and deadlines.

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Authorizes and pre-certifies services by coordinating and performing activities required for verification and authorization of insurance benefits. Proactively identifies resources available for families if health plan does not include coverage for services. Coordinates counseling services with Financial Counseling and ensures the standards of Surprise Billing is communicated. Collaborates with Patient Financial Services (PFS) and Managed Care department regarding denied claims. May initiate and perform revenue cycle activities required for pre-registration. Works collaboratively with team members to provide quality service that ensures delivery of safe patient care and services. Experience At least one year of insurance verification experience Preferred Qualifications Bachelor's degree Experience in a pediatric hospital Education High school diploma or equivalent Certification Summary No professional certifications required Knowledge, Skills, and Abilities Working knowledge of basic medical terminology Demonstrated ability to multitask and problem-solve Ability to work independently in a changing environment and handle stressful situations Must be able to speak and write in a clear and concise manner to convey messages. Proficient in Microsoft Word/Excel/Outlook May require travel within Metro Atlanta as needed Job Responsibilities Conducts in depth account review including but not limited to, denial management, clinical follow up, and acts as a liaison between clinical stakeholders and payor representation. Interviews patients and/or family members to secure insurance coverage, eligibility, and qualification for various financial programs. Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner. Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process. Confirms referring physician and/or servicing physician has obtained notification/confirmation of prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area. Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations. Acts as liaison between clinical staff, patients, referring physician's office, and insurance by informing patients and families of any possible changes, updates, responses or follow up. Discussion points may include the following: authorization delays, authorization denials, pending status, answering questions regarding status changes, offering assistance, providing follow up steps for financial support and relaying/documenting messages pertaining to authorization of procedure/service. Monitors patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems. Pre-screens doctor's orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment. Collaborates with Patient Financial Services (PFS) department to provide all related information regarding denied claims. Monitors insurance authorization issues to identify trends and participates in process improvement initiatives. Responds to all inquiries related to authorization/pre-certification issues. Develops and maintains knowledge in medical terminology, billing and insurance guidelines to ensure Children's remains compliant with all regulatory expectations. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address Used for remote worker assignment Job Family Patient Access

Insight Global's partner in the Healthcare Technology space is searching for a Remote Claims Settlement Coordinator to join their team for a 6-Month Contract. This individual will support the Claims Settlement Team to manage disputed claims filed through arbitration. This role focuses on preparing and presenting settlement offers, supporting pricing decisions, and compiling data and arguments. Additional responsibilities include: - Prepare and submit arbitration and mediation responses under the No Surprises Act (NSA). - Help choose certified arbitration entities. - Improve and automate the process for creating defense packages. - Make sure all required information is included for arbitration cases. - Provide monthly performance reports to leadership. - Ensure documentation meets privacy, compliance, legal, and HIPAA standards. - Track deadlines to keep cases on schedule and compliant. - Handle other tasks as needed We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements HS Diploma or Associates Degree 3+ years of experience in Healthcare, Health Insurance, or Healthcare Compliance 1+ years of experience processing claims Professional experience handling arbitration, mediation, or contract negotiation Professional experience with MS Office products Bachelors Degree Experience with OnBase Background in Healthcare Collections, Provider Billing, Negotiations, or Compliance

Thank you for your interest in joining our team. If you're looking to be part of a team that values integrity, humility, excellence, challenge, and life-long learning, you've come to the right place. At First Bank we believe in offering opportunities to help individuals build a long and lasting career, and we are currently seeking a Title Insurance Clerk. The Title Insurance Clerk helps Southern Illinois Title fulfill its vision by providing quality service and creating profitable trusted relationships. Duties and Responsibilities Answers telephone calls, answers inquiries and follows up on requests for information. Travels to closings and county courthouses. Processes quotes. Researches the proper legal description of properties. Researches and obtains records at courthouse. Examines documentation such as mortgages, liens, judgments, easements, plat books, maps, contracts, and agreements to verify factors such as properties' legal descriptions, ownership, or restrictions. Evaluates information related to legal matters in public or personal records. Researches relevant legal materials to aid decision making. Prepares reports describing any title encumbrances encountered during searching activities, and outlining actions needed to clear titles. Prepares and issues Title Commitments and Title Insurance Policies based on information compiled from title search. Confers with realtors, lending institution personnel, buyers, sellers, contractors, surveyors, and courthouse personnel to exchange title-related information, resolve problems and schedule appointments. Accurately calculates and collects for closing costs. Prepares and reviews closing documents and settlement statement for loan or cash closings. Obtains funding approval, verification and disbursement of funds. Conducts insured closings with clients, realtors, and loan officers. Maintains a streamline approach to meet deadlines. Records all recordable documents. Conducts 1099 reporting. Helps scan files into System. Protects the company and clients by following company policies and procedures. Performs other duties as assigned. Qualifications Skill Requirements: Analytical skills Interpreting Researching Reporting Problem solving Computer usage Verbal and written communication Detail orientation Critical thinking Complaint resolution Knowledge: Title Insurance Work experience: 5 years of banking or title insurance Certifications: None required Management experience: None required Education: High school diploma Motivations: Desire to grow in career Work Environment Work Hours: Monday through Friday, 8:00-5:00 (Additional hours may be required for company meetings or training.) Job Arrangement: Full-time, permanent Travel Requirement: Frequent travel is required for closings and research. Additional travel may be required from time to time for client meetings, training, or other work-related duties. Remote Work: The job role is primarily in-person. A personal or work crisis could prompt the role to become temporarily remote. Physical Effort: May require sitting for prolonged periods. May occasionally require moving objects up to 30 pounds. Environmental Conditions: No adverse environmental conditions expected. Client Facing Role: Yes The position offers a competitive salary, medical insurance coverage, 401K-retirement plan, and other benefits. EO / M /F/ Vet / Disability. First Bank is an equal opportunity employer. It is our policy to provide opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, sexual orientation, gender identification, age, national origin, ancestry, physical or mental handicap, or veteran's status. Equal access to programs, service, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Applications will be considered for vacancies which arise during the 60-day period following submission. Applicants should complete an updated application if not contacted and/or hired during this 60-day evaluation period. Replies to all questions will be held in strictest confidence. In order to be considered for employment, this application must be completed in full. APPLICANT'S STATEMENT By submitting an application I agree to the following statement: (A) In consideration for the Bank's review of this application, I authorize investigation of all statements contained in this electronic application. My cooperation includes authorizing the Bank to conduct a pre-employment drug screen and, when requested by the Bank, a criminal or credit history investigation. (B) As a candidate for employment, I realize that the Bank requires information concerning my past work performance, background, and qualifications. Much of this information may only be supplied by my prior employers. In consideration for the Bank evaluating my application, I request that the previous employers referenced in my application provide information to the Bank's human resource representatives concerning my work performance, my employment relationship, my qualifications, and my conduct while an employee of their organizations. Recognizing that this information is necessary for the Bank to consider me for employment, I release these prior employers and waive any claims which I may have against those employers for providing this information. (C) I understand that my employment, if hired, is not for a definite period and may be terminated with or without cause at my option or the option of the Bank at any time without any previous notice. (D) If hired, I will comply with all rules and regulations as set forth in the Bank's policy manual and other communications distributed to employees. (E) If hired, I understand that I am obligated to advise the Bank if I am subject to or observe sexual harassment, or other forms of prohibited harassment or discrimination. (F) The information submitted in my application is true and complete to the best of my knowledge. I understand that any false or misleading statements or omissions, whether intentional or unintentional, are grounds for disqualification from further consideration of employment or dismissal from employment regardless of when the false or misleading information is discovered. (G) I hereby acknowledge that I have read the above statement and understand the same.

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Authorizes and pre-certifies services by coordinating and performing activities required for verification and authorization of insurance benefits. Proactively identifies resources available for families if health plan does not include coverage for services. Coordinates counseling services with Financial Counseling and ensures the standards of Surprise Billing is communicated. Collaborates with Patient Financial Services (PFS) and Managed Care department regarding denied claims. May initiate and perform revenue cycle activities required for pre-registration. Works collaboratively with team members to provide quality service that ensures delivery of safe patient care and services. Experience At least one year of insurance verification experience Preferred Qualifications Bachelor's degree Experience in a pediatric hospital Education High school diploma or equivalent Certification Summary No professional certifications required Knowledge, Skills, and Abilities Working knowledge of basic medical terminology Demonstrated ability to multitask and problem-solve Ability to work independently in a changing environment and handle stressful situations Must be able to speak and write in a clear and concise manner to convey messages. Proficient in Microsoft Word/Excel/Outlook May require travel within Metro Atlanta as needed Job Responsibilities Conducts in depth account review including but not limited to, denial management, clinical follow up, and acts as a liaison between clinical stakeholders and payor representation. Interviews patients and/or family members to secure insurance coverage, eligibility, and qualification for various financial programs. Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner. Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process. Confirms referring physician and/or servicing physician has obtained notification/confirmation of prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area. Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations. Acts as liaison between clinical staff, patients, referring physician's office, and insurance by informing patients and families of any possible changes, updates, responses or follow up. Discussion points may include the following: authorization delays, authorization denials, pending status, answering questions regarding status changes, offering assistance, providing follow up steps for financial support and relaying/documenting messages pertaining to authorization of procedure/service. Monitors patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems. Pre-screens doctor's orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment. Collaborates with Patient Financial Services (PFS) department to provide all related information regarding denied claims. Monitors insurance authorization issues to identify trends and participates in process improvement initiatives. Responds to all inquiries related to authorization/pre-certification issues. Develops and maintains knowledge in medical terminology, billing and insurance guidelines to ensure Children's remains compliant with all regulatory expectations. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address Used for remote worker assignment Job Family Patient Access

Pay range: $22.91 - $32.07 per hour, based on experience. This position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Insurance Follow-up and Denials Specialist 2 REPORTS TO POSITION: Claims Supervisor DEPARTMENT: Single Billing Office DATE LAST REVIEWED: August 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork ____________________________________________________________________________________ DEPARTMENTAL SUMMARY: The Single Billing Office (SBO) at St. Charles Health System (SCHS) provides revenue cycle services to our multi-hospital and medical group organization focusing on billing, collecting, and posting revenue. The goal of the SBO is to deliver a delightful, transparent, and seamless experience to patients and customers that captures and collects the revenue earned by SCHS in a quality, efficient and timely manner. Services include but are not limited to: billing insurance claims, posting insurance and patient payments, resolving insurance denials, collecting unpaid insurance claims, maintaining payer contracts in the EMR, resolving under and over payments, identifying and resolving payer issues, processing refunds, processing financial assistance applications, billing patients, resolving patient accounts including patient questions, and vendor management: lockbox, clearinghouse, early out, collection agencies. POSITION OVERVIEW: The Insurance Follow-up and Denials Specialist 2 works intermediate payer denials which require a higher-level understanding of payer reimbursement methodologies, billing, and coding requirements. Caregivers actively work to identify denial trends and possible solutions to resolve or mitigate these trends. This position must also be able to assist other caregivers and is therefore required to understand all level one follow-up tasks. This position works with internal and external stakeholders including community providers, payer representatives, other SBO teams, and other St. Charles departments to resolve denials. This position does not directly supervise caregivers. ESSENTIAL DUTIES AND FUNCTIONS: Able to work all payers and denials in a single financial class. Work may be sub-divided by dollar amount or denial type with a focus on intermediate dollar range ($5,000 to $15,000) and intermediate denials (HB OP and PB). Identify and resolve intermediate denials through research, appeals, correcting and rebilling claims, locating and correcting coverage, submitting records, and escalating to payer and/or leadership. Verify and update insurance coverage as applicable using EHR tools, payer websites, or via phone calls to payers. Apply root case net adjustments when all collection options are exhausted. Resolve claim edits within Medicare billing system (DDE). Resolve payer and clearinghouse rejections (277's). Apply intermediate to advance research methodologies consistent with SBO department complexity matrix. Intermediate denials include but are not limited to (see department matrix for complete list): Intermediate billing requirements errors Intermediate charging related denials Intermediate coding related errors Inpatient Medical Necessity (Level of Service) Inpatient Notifications Inpatient Only Procedures (PB and HB) Inpatient length of stay authorizations Intermediate Medical Necessity Apply intermediate knowledge of current reimbursement methodologies and billing requirements consistent with SBO complexity matrix. Work to identify and resolve no response claims including but not limited to claims not received, unbilled claims, and unprocessed claims. Locate missing payments and coordinate with Cash Management to obtain and post payment. Submit corrected claims. Process late charges using the late charge functionality, Generate and release complex itemized statements and medical records. Update claim information including ICN, authorizations, billing information, or other required claim elements. Enter clear and concise documentation in the EHR. Review and resolve insurance follow-up correspondence. Distribute payments. Assist SBO Customer Service and other departments in researching insurance related patient questions (emails or in-basket). Identify payer issues and/or denial trends; work with SBO leadership to identify appropriate next steps including but not limited to system automations, payer contract opportunities, process changes, and department educational opportunities. Maintain knowledge of current billing requirements and any changes via payer newsletters, payer workshops, payer webinars, or other applicable source. Attend applicable meetings and trainings including payer meetings and educational opportunities as appropriate. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Supports the vision, mission and values of the organization in all respects. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization as required or assigned. EDUCATION: Required: High school diploma or GED. Preferred: Course work in medical terminology or other revenue cycle functions such as RHIT or medical coding. Course work in Microsoft Office applications. LICENSURE/CERTIFICATION/REGISTRATION: Required: N/A Preferred: Certified Healthcare Financial Professional (CHFP), Certified Revenue Cycle Representative (CRCR), Certified Specialist Account and Finance (CSAF), Certified Specialist Payment and Reimbursement (CSPR), Registered Health Information Technician (RHIT), Certified Coding Specialist Physician Based (CCS-P), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Professional Coder (CPC), Certified Professional Biller (CPB). EXPERIENCE/SKILL SET: Required: Five years of applicable healthcare experience of which two years must have been in insurance follow up or equivalent role. Experience in an applicable financial, analytical, or medical billing and coding position may substitute for up to one of healthcare experience. One year of Epic experience. Preferred: Two to three years of Epic experience. Experience using revenue cycle knowledge-based tools including applicable software and AMA manuals. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Knowledge of standard insurance billing requirements. Intermediate knowledge of payer reimbursement methodologies and appeal processes. Basic to intermediate skills in Microsoft Office applications including Excel, One Note, Outlook, and Word. Strong communication skills including ability to articulate complex technical issues impacting denials. Problem solving and research skills. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP . Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: Is Exempt Position? No Job Family: SPECIALIST PATIENT FINANCIAL SERVICES Scheduled Days of the Week: Monday-Friday Shift Start & End Time: Flexible within core working hours

Medical Claims Associate The Claims Business Associate will perform all the duties necessary to ensure group members and providers receive proper payment of policy benefits in a timely manner, while providing excellent customer service. · Duties include but are not limited to: · Receive pending claims for evaluation and processing. · Enter and/or review claims data in the claims administration system and adjudicate claims. · Accurately code explanation of benefits. · Maintain claims and task procedural, financial, and timing standards. · Adjudicate pending claims. · Review claims and research as needed. · Process claims received. Experience: 3+ years claims processing experience. A working knowledge of ICD10, CPT codes and HIPAA guidelines; knowledge of medical terminology. This is a fully remote position. RequirementsGreat Communication Skills 8 week training - no gaps

Job Description Welcome to Country Financial - Figge Levin and Associates, a place where you can genuinely make a difference in people's lives right here in Olathe, Kansas. We're not just selling insurance; we're building futures and providing peace of mind to our community. Our team is like a family, dedicated to supporting each other and celebrating every success. If you're looking for a career where you can truly connect with people, understand their dreams, and help them protect what matters most, then this might be the perfect fit for you. As our Life Insurance Specialist, you'll be the go-to person for helping individuals and families secure their financial well-being through comprehensive life insurance solutions. You'll have the opportunity to grow your expertise, build lasting relationships, and be rewarded for your dedication. Join us and become an essential part of a supportive and thriving agency that values your contribution and impact. Benefits Annual Base Salary + Commission + Bonus Opportunities Flexible Schedule Hands on Training Work from Home Responsibilities Develop and implement strategies to identify and cultivate new client relationships. Conduct needs-based client consultations to understand their financial goals and protection needs. Educate prospective clients on the benefits and features of various life insurance products. Prepare and present tailored insurance proposals and policy recommendations. Service existing clients by providing ongoing support, policy reviews, and addressing inquiries. Collaborate with team members to share best practices and contribute to a positive agency culture. Requirements Life and Health Insurance License (or willingness to obtain). Proven ability to build rapport and establish trust with clients. Excellent communication and interpersonal skills. Self-motivated with a strong work ethic. Adaptability and eagerness to learn about financial planning. Previous sales experience is a plus.

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a **Coordination of Benefits Associate** to join our team for a **remote** position. **Role Responsibilities** + Use multiple sources in researching the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance companies to verify coverages + Take up additional training/ new assignments or projects that may come up as per client needs. + Meet/ exceed required performance measures such as quality and productivity standards + Meet/ exceed process SLAs + Successfully complete the required regulatory and compliance requirements such as the HIPAA. + Successfully complete all organizational and client training requirements + Understand how work impacts results for their area as well as other processes. + Demonstrate knowledge of internal operations and develops relationships to facilitate workflow. + Knowledge of related regulations and standards. + Strong understanding of current processes and procedures and may identify opportunities for improvement. + Additionally, resources may have to do overtime and work on weekend's basis business requirement. **Required Skills/Experience** + High school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web-based applications. + 5+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word. + Ability to type 40 WPM + Required schedule availability for this position is Monday-Friday (08:00am to 08:00pm CST/EST) . The shift timings can be changed as per client requirements. + Typing and Computer skills assessment About NTT DATA: NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com. NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **($18.00/hourly )** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. \#LI-NorthAmerica

We are seeking a motivated and results-driven Life Insurance Sales Representative to join our team. In this role, you will be responsible for selling life insurance policies to potential clients that have reach out to our agency requesting information. This is a commission-only position, meaning you will be compensated based on the policies you sell. Both full and part-time sales and team management positions are available. Work from anywhere! Job Details: Full- Time or Part-Time- Commission ONLY! This is a position with the Parker Agency, that you can start part-time if needed and build your income until it matches what you are currently making full-time...then make the transition. Also, if you are just looking for an extra income each month, this is an ideal position for you. Responsibilities: Service our inbound leads Scheduling Your Own Appointments From Clients Who Mailed In A Request To Be Called Identify and understand the needs of potential clients to offer appropriate life insurance products. Present and explain insurance policy options to clients and provide professional advice to help them make informed decisions. Maintain accurate records of sales, customer information, and client interactions. Follow up with clients and prospective clients to ensure customer satisfaction and to close sales. Attend training sessions and stay up to date on industry trends and regulations. Requirements: Disciplined work ethic and a desire to succeed. Excellent communication and interpersonal skills. Ability to work independently and manage your own schedule. Strong customer service skills and a client-focused mindset. Ability to build and maintain relationships with clients and potential clients. Active life insurance license in the state(s) you will be selling in. Compensation: This is a commission-only position, meaning you will be compensated based on the policies you sell. The earning potential is unlimited, and high-performing sales representatives have the opportunity to make a significant income. We provide training and support to help you succeed in this role. If you are a self-motivated, results-driven sales professional looking for a commission-only position with unlimited earning potential, we want to hear from you. Please submit your resume and cover letter to apply for this position. If you are interested, you will be expected to schedule a phone interview as soon as you apply and be on time for that appointment. Once you apply, you will receive an email and a text with instructions as to what we want you to do before you click on the link to schedule your phone interview. As a licensed agent, does it hurt to take a look at the different approach we offer? We look forward to partnering with you. Chadd Parker | Regional Sales Manager Schedule Your Interview Time. ******************************** P: ************ No agent s success, earnings, or production results should be viewed as typical, average, or expected. Not all agents achieve the same or similar results, and no particular results are guaranteed. Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work

Insurance Specialist I - (2600002X) Description WHY UT SOUTHWESTERN?With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U. S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! BENEFITSUT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:PPO medical plan, available day one at no cost for full-time employee-only coverage100% coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave BenefitWellness programs Tuition ReimbursementPublic Service Loan Forgiveness (PSLF) Qualified EmployerLearn more about these and other UTSW employee benefits! JOB SUMMARY UT Southwestern Medical Center has a new opportunity available for an Insurance Specialist I. Work From Home (WFH): Applicants will work from home. Candidates must live within the Greater DFW area. Additional details to be discussed during the interview. Shift: 8-hour days, Monday thru Friday. Additional details to be discussed during the interview. EXPERIENCE AND EDUCATIONRequiredEducationHigh School Experience2 years of benefit verification/authorization experience or equivalent. and 1 year Functional - Customer Service/Customer service and 2 years Functional - Clinical / Medical/Precertification/Predetermination/Authorizations/Verification and 4 years Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User and 4 years Technical - Desktop Tools/Microsoft Word/4-6 Years/End User and 4 years Technical - Office Equipment/Fax/Copier/4-6 Years/End User JOB DUTIESMonitors the correct patient work queue to determine accounts needing verification. Coordinates with physician's office and/or ancillary department regarding additional information needed to obtain pre-certification and insurance benefits. Maintains department productivity standards. Pre-registers patient cases by entering complete and accurate information prior to patient's arrival. Identifies and verifies all essential information pertaining to intake, insurance verification/eligibility, and precertification on all applicable patient accounts. Revises information in computer systems as needed Documents pertinent information and efforts in computer system based upon department documentation standards. Verifies insurance information by utilizing insurance websites or calling insurance companies to verify active coverage, deductible, copay and any other specific information needed in accordance to the verification guidelines. Create and call patients with cost estimate for scheduled appointments. Ensures all exams are scheduled with proper patient class and clinical indicators and coding nomenclature. Monitors, verifies, transcribes faxed documents to select insurance companies regarding authorization requests Accurately monitors, reviews, data enters and processes authorizations and validate that the requests are accurate, within the required timeline, and in compliance with the applicable insurance guidelines. Signs into and answers the assigned ACD line, documenting patient accounts per documentation expectations Follows strict quality measures of documents scanned into the electronic medical record and/or submitted to applicable insurance Protects the privacy and security of patient health information to ensure that confidentiality is maintained Counsels' offices and/or patients when an out of network situation becomes apparent or other potential payor technicalities arise. Coordinates as needed with other departments/ancillary areas for special needs or resources. Verifies insurance coverage and eligibility for all applicable scheduled services specific to the type of procedure and/or exam, and site of service. Evaluates physician referral and authorization requirements and takes appropriate steps to ensure requirements are met prior to date of procedure. Tracks cases to resolution Coordinates with case management, physician's office and/or ancillary department regarding any additional information needed on their part to obtain pre-certification and insurance benefits Pre-Registers patient cases by entering complete and accurate information in EPIC ADT hospital billing system prior to the patient's arrival. Identifies/obtains/verifies all essential information pertaining to intake, insurance verification/eligibility and pre-certification on all applicable patients accounts with a 95% accuracy rate. Accurately revises information in computer systems as needed. Documents pertinent information and efforts in computer system based upon department documentation standards. Confirms accuracy of scheduled procedure/s, observation, surgical observation and day surgery patients when converted to inpatient status and validates that authorization codes match the service delivered including following best practice to obtained revised authorization for codes that are changed and have been communicated timely through proper channels. Contacts patient as appropriate to collect critical information and/or to advise of benefits information and "out of network" situations. Coordinates with the financial counselor or other entity as appropriate and per customer satisfaction guidelines. Adheres to HIPAA guidelines when contacting patient. Performs other duties as assigned. Demonstrates ongoing competency skills including above level problem solving skills and decision- making abilities. Maintains strictest confidentiality in accordance with policies and HIPAA guidelines. Enters accurately prior authorization data and in accordance with established guidelines, including diagnosis of service and procedure codes. Performs other related duties and projects as assigned. This job description should not be considered an exhaustive listing of all duties and responsibilities performed in this position. Our practice encourages all employees to develop personal and professional goals for themselves and will provide opportunities for continued growth and development. SECURITY AND EEO STATEMENTSecurityThis position is security-sensitive and subject to Texas Education Code 51. 215, which authorizes UT Southwestern to obtain criminal history record information. EEOUT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Primary Location: Texas-Dallas-5323 Harry Hines BlvdWork Locations: 5323 Harry Hines Blvd 5323 Harry Hines Blvd Dallas 75390Job: Insurance/BillingOrganization: 844111 - Pre-Arrival Financial ServicesSchedule: Full-time Shift: Day JobEmployee Status: RegularJob Type: StandardJob Level: Individual ContributorJob Posting: Jan 28, 2026, 11:42:11 PM

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: CorroHealth is hiring an Insurance Specialist III. Requires the following to be considered: Extensive medical billing experience Must have acute hospital billing experience Initial billing and Claims follow up experience Epic experience Familiarity of various payer guidelines MUST BE AVAILABLE TO WORK THE FOLLOWING SCHEDULE: 8am-4:30pm HAWAII TIME*** (1pm/2pm - 9:30pm/10:30pm EST) ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. Resolve complex, higher-dollar unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved. Identify and report trends found during the account resolution process such as CPT/HCPCS errors/deletions, duplicate claims, revenue code mapping mismatches, missing charges, no claim on file. Perform financial account assessment functions including but not limited to adjustments and NRP to patient. Work within client systems to complete rebill functions. Perform administrative functions including but not limited to medical record submissions, billing claims, patient assistance outreach, obtaining documents from client systems and insurance plan code updates, review corrected claim requests and approve for client assistance or correct the bill within client platform, review and submit payment verification assistance requests. Maintain familiarity with client preferences and known issues across multiple client accounts. Support special projects for clients as needed. Other duties as assigned. QUALIFICATIONS High School Diploma or equivalent 5+ years relevant industry experience in registration, billing, collections, required 3+ years experience with insurance carrier claims resolution, required 3+years of Epic, Cerner, Meditech or other EMR experience preferred Knowledge of UB04 claim forms, EOB's and medical records required ICD-9, ICD-10, CPT and HCPCS coding knowledge required Ability to conduct detailed research to resolve complex claims Intermediate mathematics skills (addition, subtraction, ability to identify trends, etc.) Advanced knowledge of Excel and Power Point Ability to compile and summarize data Strong verbal and written communication skills Ability to analyze and interpret complex documents, contracts, notes, and other correspondence Ability to prioritize and multitask in a fast-paced environment Ability to work effectively in a remote environment Investigative mind set to identify issues and implement solutions. PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Bridge Specialty Group is seeking an Entry-Level Insurance Professional to join our growing team! This is a hybrid position, requiring two days per week on-site and three days remote. The Entry-Level Insurance Professional will play a key role in expanding our current operation by helping to build customer relationships and supporting our sales initiatives. This role will solicit, establish, and maintain rapport with retail agents to secure new and renewal business as well as participate in USLI's 50/50 Sales training program. In this role, you will spend 50% of your time meeting with agents in the field and the other 50% in the office How You Will Contribute: Conducting outbound calls to retail agents to drive new opportunities in, convert leads to submissions and turn quotes into binding orders. Weekly reporting of sales calls and results is expected. Educate customers on quoting platforms and services. Drive daily submissions goals and relay information to the marketing team to maximize opportunities. Review web and phone quoting activity to spot trends positive and negative and address trends with customers and team. Establish an active relationship with the territory sales executives and regularly discuss strategy and tactics including training, sales issues and follow-up. Resolve agent issues as they arise. Assist underwriters to place business. Pursue a path of personal and professional development. Perform other duties as assigned. Licenses and Certifications: P&C insurance license within 90 days of employment Skills & Experience to Be Successful: Bachelor's degree or equivalent business experience Strong interpersonal skills with a professional, positive phone presence and the ability to build relationships Self-motivated and independent, with excellent time management and problem-solving abilities Team-oriented with a high level of integrity and professionalism Proficient in Microsoft Office, especially PowerPoint and Excel Open to feedback, coaching, and continuous improvement Ability to prioritize tasks and work independently in a fast-paced environment This position may require the team members to drive their own vehicle or a rental vehicle. Acceptable results of a Motor Vehicle Record report at the time of hire and periodically thereafter, and maintenance of minimum acceptable insurance coverages are a requirement of this position. About Us: Bridge Specialty Group creates a seamless way to connect the varying needs of our retail partners with the market clout and talents of our wholesale entities. Our more than 25 niche-focused brands reflect our deep experience and specialization in construction, general casualty, environmental liability, professional liability, health care, public entity, workers' comp, property and personal lines. With more than 50 locations and more than 2,000 team members throughout the United States and Europe, Bridge has access to more than 200 standard and excess & surplus lines carriers that support our $7+ billion premium book. Our focus is on bringing the power of collective size and specialty to the wholesale brokerage marketplace. Bridge Specialty Group - aligning risk with greater reach. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position is responsible for obtaining authorizations for elective infusions and injections to financially clear patients and ensure reimbursement for the organization. Payor resources and any other applicable reference material such as payor and medical policies should be utilized to verify accurate prior authorization requirements. Escalates financial clearance risks as appropriate in compliance with the Financial Clearance Program. Serving as a liaison between clinical teams and pharmacists ensuring effective communication regarding infusion prior authorization issues. Cases are to be coded, and clinical documentation reviewed to ensure the documentation is complete to maximize reimbursement. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school graduate or equivalent with 2 years working experience in a medical environment, (such as a hospital, doctor's office, or ambulatory clinic.) OR 2. Associate's degree and 1 year of experience in a medical environment. PREFERRED QUALIFICATIONS: EXPERIENCE: 1. 3 years' experience of knowledge and interpretation of medical terminology, ICD-10, and CPT codes. 2. Understanding of authorization processes, insurance guidelines, and third-party payors practices. 3. Proficiency in Microsoft Office applications. 4. Excellent communication and interpersonal skills. 5. Ability to prioritize to meet deadlines and multitask a large work volume with a high level of efficiency and attention to detail. 6. Basic computer skills. CORE DUTIES AND RESPONSIBILITIES: As an advocate for WVUH/UHA employees, company and departmental goals and initiatives and HR Compliance, demonstrate knowledge of management and employee needs and apply that knowledge to create solutions. 1. Utilize work queues within the EPIC system to manage workloads and prioritize to meet deadlines. 2. Collect and communicate outpatient benefit information to the Patient Financial Services team via queues and billing indicators in Epic. 3. Refer to medical and coverage policies for medications. 4. Research CPT codes for drugs/injections. 5. Verify authorization requirements by utilizing insurance portals or calling insurances. 6. Submit authorizations as a buy-and-bill via medical benefit for outpatient on-campus hospital requests by utilizing insurance portals, prior authorization forms, or calling insurances. 7. Review and interpret medical record documentation to answer clinical questions during the authorization process. 8. Clearly and effectively communicate with clinics when additional information is needed. 9. Uses hospital communications systems (fax, pagers, telephones, copiers, scanners, and computers) in accordance with hospital standards. 10. Daily follow up on submitted authorization requests. 11. Scheduling and following up on peer to peers. 12. Submitting and following up with prior authorization appeals for denied medications. 13. Clearly and effectively communicate to the appropriate persons when home infusion or pharmacy benefit is needed. 14. Verification of referrals and authorizations in work queues. 15. Identify changes in medication dosing/frequency. 16. Assists Patient Financial Services with denial management issues and will obtain retro authorizations as needed. 17. Maintain in baskets in Epic and emails in Outlook. 18. Participate in monthly team meetings and one-on-ones. 19. Builds admissions and submit authorization for elective inpatient chemotherapy admission and observations. 20. Follows established workflows, identifies deviations or deficiencies in standards/systems/processes and communicates problems to supervisor or manager. 21. Is polite and respectful when communicating with staff, physicians, patients, and families. Approaches interpersonal relations in a positive manner. 22. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers, and the public regarding demographic/clinical/financial information. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Prolonged periods of sitting. 2. Extended periods on the telephone requiring clarity of hearing and speaking. 3. Manual dexterity required to operate standard office equipment. 4. Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Outpatient clinical environment. SKILLS AND ABILITIES: 1. Excellent oral and written communication skills. 2. Basic knowledge of medical terminology. 3. Basic knowledge of ICD-10 and CPT coding. 4. Basic knowledge of third-party payors. 5. Basic knowledge of business math. 6. General knowledge of time-of-service collection procedures. 7. Excellent customer service and telephone etiquette. 8. Minimum typing speed of 25 works per minute. 9. Must have reading and comprehension ability. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 536 SYSTEM Hospital Authorization Unit

is 100% remote and is critical having CAH and Rural health background experience! Work Shift Day Scheduled Weekly Hours 40 This position supports Mercy's philosophy of patient centered care by submitting charges to insurance companies properly to get reimbursement back to facility and appropriately bill patient as needed. Will also be responsible for timely follow up on complex billing issues and denials. Must be a skilled staff member who has a proven history of effectively billing and collecting from payers. Job Description Job Duties Verifies insurance coverage of hospital patients. Assists patients and family members in resolving billing concerns as indicated. Processes third party insurance claims as assigned and follows up according to departmental guidelines to ensure timely payment of account balances. Uses several systems to bill claims, scrub claims and work rejections. Updates demographic and insurance information to the billing system as appropriate. Maintains work queues according to procedure, clearly defining next actions and follow-up dates on all accounts. Documents all conversations and actions taken into the proper systems. Reviews insurance claims for completeness and accuracy prior to mailing. Assists in training of Insurance Specialists. Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries. Knowledge, Skills and Abilities Required ability to operate a computer, copy/fax machines and telephone system. Required strong written and verbal communication and math skills. Required strong organizational and time management skills. Required strong interpersonal skills. Required ability to work with minimal to no supervision. Preferred working knowledge of medical insurance plans and medical terminology. Preferred proficiency with MS Office. Preferred knowledge of EPIC software. Professional Experience Required: 2 years previous experience in a medical office, medical business office, or insurance industry. Preferred: Proven track record of leadership ability. Education High School Diploma or equivalent strongly preferred. Relevant experience to be considered in lieu of degree. Licensure, Certification, Registration AAHAM (American Association of Healthcare Administrative Management), or CRCR (Certified Revenue Cycle Representative) Certification required. Pay Rate Type Hourly Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years. Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.

About Us: Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at ****************** About the Role: Insurance Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. Title: ​Insurance Specialist Location: ​Remote Schedule: ​7am-5pm Central Time Department: ​Insurance Reports To: ​Insurance Supervisor Compensation: ​$16-$18 per hour base Key Responsibilities:  Reduce outstanding accounts receivable by managing claims inventory  Speak to patients and insurance companies in a professional manner regarding their outstanding balances  Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services  Request, input, verify, and modify patient's demographic, primary care provider, and payor information  Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.  Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures  Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.  Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies  Work with Claims and Collections in order to assist patients and their families with billing and payment activities Required Qualifications:  High School Diploma/GED 2+ years of Denials Management experience 2+ years Medical Billing/Follow-up experience Medicare, Medicaid, and commercial payor experience Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel) Employment eligibility:  Must be legally authorized to work in the United States without sponsorship As a condition of employment, a pre-employment background check will be conducted What We Offer:  Comprehensive paid training  Medical, dental, and vision insurance  HSA and FSA available  401(k) with company match  Paid Wellness Time and Holidays  Employer paid life insurance and long-term disability  Internal growth opportunities  Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state, or local protected class. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.  #LI-Remote

If you've ever thought, " I wish I could do what I'm great at AND have the flexibility to work from home ," this is your chance! Keys Dental Specialists is seeking a full-time Dental Insurance Coordinator who's ready to own the insurance process from start to finish-all while working remotely. Based in Key West, FL, we're a dentistry team that values accuracy, communication, and creating stress-free experiences for our patients. We Offer: $18-$24/hour Dental benefits A great atmosphere DISCOVER WHO WE ARE: We are a team of highly qualified dentists and specialists who work together to expertly address each of our patients' dental and sedation needs. Our doctors focus their expertise and training on patients who seek only the best in general dentistry and oral surgery. We manage a wide variety of problems relating to the mouth, jaws, and facial region, including bone grafting, wisdom teeth extraction, dental implant surgery, corrective jaw surgery, and traumatic injuries. Our approach to quality dentistry is to customize our care and help our patients meet their goals as we strive to attain total patient satisfaction. Our staff has been called "caring" in our reviews, which underscores how essential our employees are to our success. To show them how much we appreciate them and value their contributions, we offer highly competitive wages. We also cultivate a warm and welcoming atmosphere that benefits both our patients and our staff. Many people comment that they feel "comfortable" with us, which lets us know we're succeeding at helping everyone who enters our doors feel at home. A GLIMPSE INTO YOUR DAY: This is a remote position, working full-time every Monday through Friday. As a Dental Insurance Coordinator, you will be the key link between patients, providers, and insurance carriers-ensuring accuracy, clarity, and efficiency in every step of the process. Your responsibilities will include: Insurance Verification & Eligibility: Confirm patients' dental insurance benefits, coverage limitations, deductibles, waiting periods, and frequencies prior to appointments to support accurate treatment planning and financial estimates. Claims Submission & Follow-Up: Accurately submit dental insurance claims with required attachments and narratives, monitor claim statuses, resolve denials, and follow up with insurance carriers to secure timely and maximum reimbursement. Patient Communication & Financial Coordination: Clearly explain insurance benefits, estimated patient responsibility, and payment options in a friendly, confident manner while providing the clinical team with accurate financial information for seamless care delivery. QUALIFICATIONS FOR SUCCESS: Experience with insurance verification Experience working with Dentrix and insurance companies Ability to communicate adequately with patients regarding claims, bills, and patient financial responsibilities Possesses an at-home office setup with a quiet environment and high-speed internet Bonus points if you have multiple desktop monitors to dual-screen work for a more efficient workflow! TAKE THE NEXT STEP AS OUR REMOTE DENTAL INSURANCE COORDINATOR! Ready to join a team that values your expertise and gives you the flexibility to work from home? Apply today and make your next career move your best one yet!

Job Type: Full-Time | Remote | Flexible Hours Compensation: $90,000 - $120,000 per year, typical first year Extras: Weekly Pay | Equity Opportunity | Bonus Program | Vested Renewals AO Globe Life is actively hiring Remote Client Support Specialists to join our mission-driven, fully remote team. This position is ideal for recent or soon-to-be graduates in business, marketing, communications, or individuals seeking a people-centered role with strong professional growth potential. We offer hands-on training, warm inbound leads, and structured mentorship to help you succeed-all from wherever you choose to work. Key Responsibilities Conduct scheduled virtual consultations with clients via Zoom Guide individuals and families through personalized benefit options and the enrollment process Maintain accurate and organized digital records of client interactions Deliver excellent service and follow-up to ensure client satisfaction Participate in regular team training, development programs, and mentorship Build long-term client relationships that support both their needs and your professional growth Qualifications Strong communication and interpersonal skills Organized, self-driven, and comfortable working independently Confident using video communication and digital platforms Passion for helping others and working in a purpose-driven environment Customer service, sales, or client support experience is helpful but not required Authorized to work in the U.S. Access to a reliable internet connection and a Windows-based laptop or PC with a webcam What We Offer 100% remote work with flexible scheduling Commission-based pay with weekly payouts All warm, pre-qualified leads provided-no cold calling Vested renewals for long-term income growth Full training and licensing support Equity opportunity (3%) for qualified team members Monthly and quarterly performance bonuses Career advancement opportunities, including leadership pathways A collaborative and supportive culture focused on people and performance About AO Globe Life AO Globe Life serves working-class families across the U.S., specializing in supplemental benefits for union members, credit unions, and veterans. With a 70+ year legacy of service and a growing remote workforce, we're committed to empowering our team members to make a lasting impact-flexibly, ethically, and with purpose. If you're ready to start a career with real flexibility, upward mobility, and mission-aligned work-apply today. We're here to support your success.

Do you like puzzles? The world of insurance benefits is a big puzzle these days. Help our patients put all of the pieces of their insurance information together. We need your help to assist our patients, and staff, with understanding how to get most out of their insurance benefits. Make the complex, simple. Determining patient benefits directly from source information.If you are the type of person that has a "close enough is good enough" mentality or a person who rejects consistency as a primary goal, this job is not for you. No experience necessary. You just need to bring good ethics, good morals and dependability to the table and we will train you on the rest! Hourly + flexible schedule. If this sounds "like you", please send your resume.