Revenue Cycle Hospice Invoicing Specialist - Remote
Collections representative job at UnitedHealth Group
Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Revenue Cycle Analyst you will perform all revenue cycle reporting and analysis for revenue cycle leadership, operational teams, and accounting. This analysis consists of daily, weekly, monthly, ad ad-hoc reports using real-time data and information (financial, statistical and other data). The results of the analysis are then used to provide revenue cycle leadership and operations management (DVPs and other operations management) with real-time feedback. As the Revenue Cycle Analyst, you will have no direct report staff and solicits feedback from both Decision Support leadership and VP of Revenue Cycle.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Perform financial and reimbursement analysis to ensure accurate reimbursement and billing compliance
* Conduct data mining to compile reports and provide healthcare analytics support for decision-making related to AR inventory reduction, denial management, and operational improvements
* Compile and prepare data for use in forecasts, budgets, modeling, and analysis as requested
* Compile statistical data for internal reports and regulatory agencies
* Assist in creating a data warehouse with needed information (process started; work with IT to complete)
* Collaborate with the revenue cycle team to regularly measure and improve business performance
* Produce daily, weekly, and monthly revenue cycle reports in a timely, accurate, and consistent manner
* Work with revenue cycle leadership to develop key performance indicators and improve reporting
* Prepare variance analysis on under-performing agencies/PODs related to days unbilled, production issues, etc., and suggest operating improvements
* Maintain excellent communication with supervisor, revenue cycle management personnel, and home office personnel
* Actively participate in Monthly Operational Review meetings
* Complete ad-hoc analysis projects as required (problem payer work, issue resolution, collection effectiveness measures, etc.).
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Bachelor's Degree
* 2+ years in a healthcare-related field
* 2+ years in relevant Professional Accounting/Financial Analysis experience
* Demonstrate superior analytical skills, both financial and statistical
* Demonstrated a natural sense of urgency in all actions
* Demonstrated ability to use modern accounting and financial software platforms and databases
* Demonstrated solid proficiency in Microsoft Office applications.
Preferred Qualifications:
* Proven solid oral and written communication skills.
* Excellent interpersonal skills
* Ability to work alongside other management personnel to achieve high levels of operating performance.
* Demonstrated ability to influence other personnel to produce improved operating outcomes.
* Self-starter and self-motivated, able to consistently demonstrate these qualities in a fast-paced environment.
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Accounts Receivable Specialist - Lafayette Home Office
Collections representative job at UnitedHealth Group
Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As a Collection Specialist, you will take charge of preparing and processing a variety of insurance claims with precision. Each day, you ensure accuracy by actively verifying data through direct communication with agencies and external partners-keeping everything on track and moving forward.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Prepare and process various insurance claims, including electronic submissions for multiple payers
* Verify claim data daily through communication with agencies and external personnel
* Research and correct error claims to ensure clean claim production and submission
* Review accounts receivable daily and follow up on delinquent accounts per established procedures
* Recommend corrective actions based on account review findings
* Investigate and respond to inquiries from payors and agencies regarding accounts receivable activity
* Maintain and update accounts receivable schedules to track issues and resolutions for reporting
* Resolve customer requests, inquiries, and concerns promptly and respectfully
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* 1+ years of medical billing and collections experience
* Excellent oral and written communication skills
* Solid organizational, analytical, and math skills
* Basic proficiency in PC applications, including Microsoft Word and Excel
Preferred Qualifications:
* Home Health billing and collections experience
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Customer Service Senior Representative - Express Scripts - Rochester, NY
Rochester, NY jobs
Express Scripts is currently seeking a Customer Service Senior Representative. In this exciting and challenging role as a Customer Service Senior Representative, you will be working within the fast-paced environment of the Central Nursing Team. As a first line of contact, this role will independently assist both internal and external clients within scope by clarifying and researching desired information and resolving non-clinical problems.
**RESPONSIBILITIES:**
+ Work with Nurse Managers/Supervisors, field staff, and patients to schedule visits for home infusion within a region of branches.
+ Complete all nurse assignments for patients, reschedules visits based on patient availability, staff new patients with appropriate nurses, and proactively monitors all patient appointments to confirm accuracy.
+ Work with pharmacy, reimbursement, and nursing departments as coordinator for nursing referrals while providing great customer service.
+ Work with various staff, departments, and prescribers via fax, email, IM, and phone. Monitors both personal email as well as nursing mailboxes for follow up needed, prioritizing by ask.
+ Manipulate multiple Excel documents to determine what needs to be completed and urgency of completion.
+ Respond timely to inquiries from patients, field staff, and other departments for information and assistance regarding nursing and patient referrals and schedules.
+ Investigate/research issues and provide resolution.
+ Take initiative for problem solving with ability to multitask effectively and use critical thinking.
+ Correct and timely entry of data in appropriate systems.
**QUALIFICATIONS:**
+ High School education or GED required.
+ 5+ years of relevant Customer Service experience.
+ High proficiency and regular use of Excel and Outlook required.
+ A pro-active work ethic with ability to be managed/trained virtually.
+ Detail orientation.
+ Excellent written and oral professional communication skills.
+ Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make independent decisions.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of 17.98 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** .
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
Collections Specialist- Evernorth
Remote
As a vital member of our revenue operations team, you will play a key role in ensuring accurate claim processing, timely reimbursement, and a positive financial experience for patients and payers. You will investigate denials, resolve payment discrepancies, and strengthen collection practices that directly support our mission to deliver efficient, patient-centered financial services.
Responsibilities
Manage third-party billing and collections, ensuring timely and accurate processing of claims and appeals.
Investigate denials and rejections to identify root causes and recommend actions that prevent repeat issues.
Review claim processing to confirm proper payment and pursue corrective steps when discrepancies arise.
Process payer appeal requests within required timeframes and track outcomes.
Contact payers or patients, as appropriate, to resolve outstanding issues.
Document all collections activity in patient notes and accounts receivable reports.
Evaluate payer guidelines to determine whether claims should be corrected, refiled, or appealed.
Interpret EOBs to validate payment accuracy and guide next steps.
Identify and correct claim errors to support full reimbursement.
Support continuous improvement by identifying workflow enhancements that strengthen financial performance.
Required Qualifications
High school diploma or equivalent.
Minimum 1+ years of experience in collections, medical billing, or revenue cycle operations.
Ability to read and interpret EOBs and understand payer reimbursement practices.
Strong communication, organizational, and problem-solving skills.
Proficiency with Microsoft 365.
Preferred Qualifications
Experience with ICD-10, CPT-4, HCPCS, and Medicare billing.
Knowledge of home infusion, reimbursement guidelines, and third-party payer rules.
Familiarity with HCN360, CPR+, or similar systems.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 17.75 - 25 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Auto-ApplyRemote Licensed Customer Service Representative
Indianapolis, IN jobs
Join Our Team as a Remote Experienced and Licensed Customer Service Representative!
Within our Customer Response Center, the Remote Customer Service Representative provides timely, accurate and responsive information and service to policyholders and agents for a division of Personal Lines products, plans and programs. Independently solve problems relating to policies within scope and escalate others as appropriate. Identifies, analyzes, and owns customer policy needs to ensure high customer satisfaction, growth and retention of business.
Training: Paid training is Monday - Friday, 9:00am - 5:30pm EST (full time). Training is a critical component to your success, and that success starts with reliable attendance. Attendance and active engagement during training is mandatory for success in this role.
Shift: After onboarding and training is complete, go-forward shifts will have a start time between 11:30 am - 1:30 pm EST with a weekend rotation. One weekend day (Saturday or Sunday) will be required with an alternate day off mid-week when working the weekend.
Work Location: All equipment is provided. However, to work from home you must have dependable, wired internet connectivity with an upload speed of at least 5Mbps and a download speed of at least 25Mbps along with a quiet, secure, distraction free place to work. This position is fully remote. It is preferred that applicants reside within a 50-mile radius of Chandler AZ, Plano TX, Lake Mary FL, Suwanee GA, and Indianapolis Indiana, but not required.
License: Active P&C Producers insurance license REQUIRED.
Responsibilities:
Provides exceptional customer service by responding promptly to all inbound customer calls regarding personal lines policies, limited by line.
Builds rapport with each customer.
Listen to customers' requests and inquiries.
Works to retain policyholders who inquire about canceling auto policies through open listening, negotiating, and policy review of customer issues.
Uses de-escalation tactics and when necessary, escalates to appropriate team.
Processes policyholder transactions accurately and within Customer Response Center established time standards.
Interprets policy contracts to insured based on expert knowledge of personal lines auto products.
Identifies, understands and interprets customer needs to implement resolutions and makes recommendations for coverage enhancements.
Understands aspects of billing systems as it pertains to policy coverage.
Identifies and communicates transactions and impacts to policy premium.
Evaluates and makes decisions regarding exceptions to payment plan and fees.
Manages and utilizes time effectively to ensure the department meets required service levels for improved customer satisfaction results.
Proficiently utilizes on-line reference materials relating to auto policies to provide confident, accurate, and efficient service.
Develops and maintains product, procedural and technical systems knowledge.
Completes licensing and continuing education requirements.
Utilizes technical systems, effectively and efficiently, including desktop, call center specific phone systems and has required internet connectivity.
Performs additional duties as assigned.
Qualifications
Associates degree or 1+ year Insurance experience preferred.
2 years'+ related Customer Service experience is required.
Ability to review, record and organize written data from a variety of sources with no prescribed format is essential.
Excellent communication and interpersonal skills are required.
P&C Producers insurance license required.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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Auto-ApplyLicensed Customer Service Representative - Remote Central Time Zone
Remote
Are you a licensed insurance professional looking to join a Fortune 100 Company?
We are currently hiring exclusively for our Gold Customer Service licensed class starting February 23, 2026. Candidates must hold a valid Property & Casualty License or a Personal Lines License to qualify for this role.
This Posting is for candidates who reside in Central Time Zones.
If you reside in the Eastern time zone, please apply to 2025-73742. For Mountain/Pacific time zones please apply to 2025-73752.
If you hold a valid Property & Casualty or Personal Lines License, we invite you to join a team that truly puts people first, valuing your growth, development, and well-being every step of the way. Guided by our Common Purpose, we deliver exceptional customer experiences through integrity, expertise, care, and simplicity. As a member of the Gold Service program, you'll play a key role in supporting Safeco's leadership in the independent agency channel by providing expert, around-the-clock assistance to agents. Your contributions will not only enhance customer satisfaction but also empower agents to grow their businesses, creating a meaningful impact every day. Join a company that prioritizes your personal and professional growth and recognizes the value you bring to the team.
Our customer service team provides 24/7 support, requiring flexibility to work various shifts including weekends and holidays. We offer paid, mandatory training lasting approximately 12 weeks, held Monday through Friday from 10:00 AM to 6:30 PM EST, where attendance and performance are closely monitored to ensure your success.
The following states and territories are excluded from eligibility: Alaska, California, Hawaii, Illinois, Maryland, New York, and Washington, D.C.
Responsibilities:
Assists customers in their time of need by building rapport and efficiently handling inbound calls in a fast-paced call center environment, addressing questions related to renewals, coverage, eligibility, billing, and policy changes.
Delivers expertise by assessing customer and agent needs to drive satisfaction, business growth, and retention.
Provides guidance and recommendations to help customers protect what matters most, utilizing upselling and cross-selling techniques to educate on insurance products and services.
Upholds customer care standards by meeting individual goals for call quality, handling time, lead transfer ratio, adherence, first-call resolution, and reliability.
Accurately maintains and tracks data across various computer systems.
Qualifications
Property & Casualty License or a Personal Lines License.
Associate degree in a business-related field or equivalent experience required.
A minimum of 6 months' related work experience is required with customer service experience preferred.
Must have the ability to review, record, and organize written data from a variety of sources with no pre-established format.
Must have excellent oral, written, and interpersonal communication skills and the capacity to multitask in a structured work environment.
Must have the ability to handle confidential and proprietary information.
Proficiency with computers is mandatory.
Knowledge and ability to use Microsoft Office tools is necessary.
Must have a clear understanding of the organization`s policies, standards, and procedures to guide customer interactions.
Our Gold team is vital in providing #peaceofmind to our customers and agents, and we're excited to have you join us in working together to achieve our shared goals.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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Auto-ApplyPayment Integrity Coding Professional
Columbus, OH jobs
**Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management (CEVM) contributes to overall cost reduction by utilizing code editing guidelines and data anomalies to ensure correct claim payment.
The Payment Integrity Professional work assignments require in-depth research, cross departmental collaboration, independent determination of the appropriate course of action, and involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Payment Integrity Coding Professional monitors and analyzes Code Edit operational processes and performance metrics to identify inefficiencies and opportunities for improvement. Partners with internal business partners to support business initiatives, including identifying the root cause of challenges, designing solutions to the challenges, and implementing solutions. Builds and maintains strong internal working relationships at all levels of the organization and across the Enterprise; leverages these relationships in helping to drive innovation and effective operations for Humana. Engages in implementations and/or ad hoc projects, within assigned scope of responsibilities to understand requirements, to support and guide team members on priorities and help manage risks and escalations.
**Use your skills to make an impact**
**WORK STYLE:** Remote/Work at Home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**WORK HOURS:** Standard business hours are Monday - Friday, 8 hours/day, 5 days/week. Core business hours are 8AM - 5PM Eastern time.
**Required Qualifications**
+ AAPC or AHIMA Coding Certification
+ Minimum 3 years post certification experience utilizing coding guidelines by reading and interpreting claims
+ Exceptional understanding of Centers for Medicare & Medicaid Services (CMS) guidelines, state Medicaid guidelines, correct coding initiatives, national benchmarks, and industry standards
+ Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
+ Strong attention to detail
+ Can work independently and determine appropriate courses of action
+ Ability to handle multiple priorities
+ Capacity to maintain confidentiality
+ Excellent communication skills both written and verbal
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Bachelor's degree
+ Experience leading people, projects, and/or processes
+ Experience using the following systems: CAS and Code Edit vendor tools
+ Experience in a fast paced, metric driven operational setting
**Additional Information**
+ 100% remote role
+ Standard business hours are Monday - Friday, 8 hours/day, 5 days/week. Core business hours are 8AM - 5PM Eastern time.
**Work at Home Requirements**
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-04-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
RCM Customer Service Representative - Remote
Frisco, TX jobs
Responsible for answering inbound customer service calls related to patient accounting questions. When inbound call volumes are low incumbent may make outbound follow up calls on outstanding AR accounts. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned.
* Answer inbound customer service calls and make some outbound follow up calls in a professional, service-oriented manner. Answer the calls timely without drops/abandons.
* Ascertain the reason for the call and assist the caller with their questions, concerns or problems with the focus on first call resolution. Facilitate resolution by referring the matter to the issue/content expert. Escalate the matter to a supervisor, request the appropriate information or take appropriate action so that the issue expert is able to effectively resolve the matter.
* Other duties as assigned.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Exceptional customer service skills including effective and efficient problem solving and analyzing skills
* Professional and calming tone of voice with complete command of the English language free of use of inappropriate grammar
* Ability to facilitate conversations with others and establish an understanding of the customer's issue/reason for contact
* Ability to perform essential job functions with high degree of independence, flexibility, and creative problem-solving techniques
* Ability to maintain control of the call by de-escalating issues and instilling confidence that the resolution has been found.
* Ability to function effectively under stress of conflicting demands on time and attention and, sometimes, under duress from difficult personalities
* Ability to interpret and apply reimbursement aspects of managed healthcare contracts
* Attentive listening skills
* Ability to clearly articulate a response to the customer using appropriate voice modulation
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High school education or the equivalent
* 1 - 2 years prior experience in an inbound call center and/or customer service environment; hospital patient account billing with experience or knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.
PHYSICAL DEMANDS
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.
* Ability to sit at a computer terminal for extended periods of time
WORK 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.
* Call Center environment with headset and multiple workstations within close proximity
* Hospital Environment may include direct patient interaction
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
PS Customer Service Representative - Remote
Frisco, TX jobs
The purpose of the Customer Service Representative position is to support the Customer Service Call Center as it relates to physician billing for multiple clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned.
* Handle a large call volume while ensuring quality customer service and patient satisfaction
* issues not resolved during conversation with patient/guarantor
* Ability to complete other related customer service duties as assigned
SUPERVISORY RESPONSIBILITIES
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position serves as the primary source of communication for patients' billing inquiries. This person must possess the skill to effectively assist patients with sensitive and confidential issues, while understanding our obligation to our clients to collect outstanding patient balances. They should be able to handle multiple tasks along with setting appropriate priorities with client information.
* Answer patient calls within the guidelines of call center metric objectives
* Ensure appropriate HIPAA compliance guidelines
* Adhere to work schedule and follow call center phone procedures
* Maintain professionalism and confidentiality
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High School degree or equivalent required
* At least 1 year experience in a medical customer service role preferred
* Previous experience in a call center environment preferred
* Proficiency in Microsoft Outlook, Excel and Word required
* Previous experience with medical billing systems required; GE Centricity or EPIC experience a plus
REQUIRED CERTIFICATIONS/LICENSURE
Include minimum certification required to perform the job.
N/A
PHYSICAL DEMANDS
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.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK 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.
* Office Work Environment
* Hospital Work Environment
TRAVEL
* No travel required
Compensation and Benefit Information
Compensation
* Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
PS Customer Service Representative - Remote Bilingual Required
Frisco, TX jobs
The purpose of the Customer Service Representative position is to support the Customer Service Call Center as it relates to physician billing for multiple clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned.
* Handle a large call volume while ensuring quality customer service and patient satisfaction
* issues not resolved during conversation with patient/guarantor
* Ability to complete other related customer service duties as assigned
SUPERVISORY RESPONSIBILITIES
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position serves as the primary source of communication for patients' billing inquiries. This person must possess the skill to effectively assist patients with sensitive and confidential issues, while understanding our obligation to our clients to collect outstanding patient balances. They should be able to handle multiple tasks along with setting appropriate priorities with client information.
* Answer patient calls within the guidelines of call center metric objectives
* Ensure appropriate HIPAA compliance guidelines
* Adhere to work schedule and follow call center phone procedures
* Maintain professionalism and confidentiality
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High School degree or equivalent required
* At least 1 year experience in a medical customer service role preferred
* Previous experience in a call center environment preferred
* Proficiency in Microsoft Outlook, Excel and Word required
* Previous experience with medical billing systems required; GE Centricity or EPIC experience a plus
REQUIRED CERTIFICATIONS/LICENSURE
Include minimum certification required to perform the job.
N/A
PHYSICAL DEMANDS
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.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK 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.
* Office Work Environment
* Hospital Work Environment
TRAVEL
* No travel required
Compensation and Benefit Information
Compensation
* Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Payment Specialist- Evernorth
Remote
As a Payment Specialist, you will help ensure accurate, timely posting of payments and adjustments while supporting the financial integrity of the organization. You will analyze payment activity, identify trends, resolve discrepancies, and contribute to efficient revenue cycle operations. Your attention to detail and commitment to service will help strengthen internal workflows and enhance the overall payment experience.
Responsibilities
Apply payments and contractual adjustments accurately and in accordance with departmental procedures.
Process patient and insurance refunds for overpayments.
Identify payer trends and communicate findings to leadership.
Review contracts, analyze per‑diem vs. drug rate structures, and ensure appropriate claim adjustments.
Forward paper denials and remittance documentation to A/R teams for follow‑up.
Research discrepancies and resolve issues to support accurate reimbursement.
Meet quality assurance expectations and productivity benchmarks.
Perform additional duties as assigned to support payment operations.
Required Qualifications
One year of experience in billing, cash posting, or collections, preferably in healthcare.
Proficiency with computers and Microsoft Office.
Knowledge of medical terminology.
Ability to work effectively in a fast‑paced, multitasking environment.
Experience with CPR+ or Caretend (preferred).
Preferred Qualifications
Experience with HCPCS, ICD‑10, and medical billing practices.
Familiarity with third‑party payer guidelines and reimbursement practices.
Strong communication, organization, and problem‑solving skills.
Experience in patient accounting systems or revenue cycle operations.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 17.75 - 25 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Auto-ApplyPayment Specialist II- Evernorth
Remote
As a key contributor within our revenue operations team, you will help ensure accurate, timely, and well-documented payment posting that strengthens our financial performance and supports exceptional patient service. Your work will directly improve reimbursement outcomes, reduce errors, and enhance the overall integrity of our billing processes.
Responsibilities
Accurately post payments, transfers, corrections, adjustments, and refunds for an assigned book of business, ensuring completeness and accuracy.
Review, reconcile, and resolve unapplied payments by obtaining EOBs, researching discrepancies, and posting to appropriate accounts.
Analyze and resolve root causes of cash posting issues to increase accuracy and prevent repeat errors.
Evaluate payers for EFT and ERA opportunities and recommend improvements to streamline processes.
Review and parse incoming 835 files to ensure correct interpretation and posting.
Verify the accuracy of daily cash spreadsheets and ensure timely distribution.
Collaborate with internal partners to identify system or workflow improvements that enhance payment accuracy and financial performance.
Required Qualifications
Minimum 1+ years of experience in payment posting, cash applications, medical billing, or revenue cycle operations.
Experience reading and interpreting EOBs.
Strong understanding of patient accounting processes and third-party payer guidelines.
Excellent communication, problem-solving, and organizational skills.
Proficiency in Microsoft 365.
Preferred Qualifications
Familiarity with ICD-9, CPT-4, HCPCS, and medical terminology.
Experience in home infusion, specialty pharmacy, or similar healthcare billing environments.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 26 - 39 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Auto-ApplyPatient Account Senior Representative - Remote
Frisco, TX jobs
The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance.
Senior Representative must have the ability to work closely with management and team members working an inventory of collectible accounts that bring in revenue and possess the the following:
* Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information
* Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients)
* Access payer websites and discern pertinent data to resolve accounts
* Utilize all available job aids provided for appropriateness in follow-up processes
* Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account
* Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
* Skilled in working with complex medical claim issues
* Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunities
* Compile data to substantiate and utilize to resolve payer, system or escalated account issues
* Assist new or existing staff with training or techniques to increase production and quality
* Provide support for team members that may be absent or backlogged
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
* Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards.
* Perform special projects and other duties as needed. Assists with special projects as assigned, documents findings, and communicates results to leaders.
* Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor.
* Compile data to substantiate and utilize to resolve payer, system or escalated account issues.
* Assist new or existing staff with training or techniques to increase production and quality as needed.
* Participate and attend meetings, training seminars and in-services to develop job knowledge.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies
* Good written and verbal communication skills
* Intermediate technical skills including PC and MS Outlook
* Strong interpersonal skills
* Above average analytical and critical thinking skills
* Ability to make sound decisions
* Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors
* Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation
* Intermediate knowledge of CPT and ICD-9 codes
* Advanced knowledge of insurance billing, collections and insurance terminology
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* High school diploma or equivalent education
* 2-5 years experience in Medical/Hospital Insurance related collections
* Minimum typing requirement of 45 wpm
PHYSICAL DEMANDS
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.
* Office/Teamwork Environment
* Ability to sit and work at a computer for extended periods of time
WORK 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.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Credit Resolution Representative - Remote
Frisco, TX jobs
Responsible for performing the refunds and credit analyses functions within the Hospital Revenue Cycle Management team. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Performs refund and credit analyses, audit and reimbursement functions for all Managed Care, Commercial, Medicare, Medicaid, Self-pay and third party payors for all patient accounts. Determines if credit balance is an over contractual, late charges applied, overpayment etc. to ensure appropriate actions are taken to resolve.
* Performs Quarterly reviews for Medicare and Medicaid (based on state guidelines) and submits to client for approval, signature and submission.
* Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory Accurately and thoroughly documents the pertinent credit balance review activity performed.
* Communicate issues to management, including payer, system or escalated account issues.
* Handle correspondence received from payers and patients requesting refunds. Respond timely to emails and telephone messages as appropriate
* Participate and attend meetings, training seminars and in-services to develop job knowledge.
* Other duties as assigned by Management.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Entry level understanding of hospital billing form requirements (UB04 and HCFA 1500)
* Entry level knowledge of ACE/PBAR/STAR/Meditech or EPIC preferred
* Entry level knowledge of ICD-10, HCPCS/CPT coding and medical terminology
* Entry level writing skills
* Contract Interpretation skills greatly preferred
* Understanding and interpretation of Managed Care contracts
* Understanding of Gov't Medicare and multiple state Medicaid programs payor regulations (if Gov't team)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High School Diploma or equivalent experience, preferred.
* 1 - 3 years' experience in a hospital business environment performing billing and/or follow-up functions, preferred.
PHYSICAL DEMANDS
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.
* Ability to sit and work at a computer terminal for extended periods of time
WORK 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.
* Call Center environment with multiple workstations in close proximity.
* Some positions may be eligible for Telecommuting based off Business need or position function. If eligible, all Telecommuting guidelines must be adhered to at all times.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Patient Account Representative - Remote
Frisco, TX jobs
The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance.
Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account. Team member should possess the following:
* Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
* Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions
* Access payer websites and discern pertinent data to resolve accounts
* Utilize all available job aids provided for appropriateness in Patient Accounting processes
* Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account
* Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
* Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities
* Provide support for team members that may be absent or backlogged
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards.
* Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results.
* Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor.
* Participate and attend meetings, training seminars and in-services to develop job knowledge.
* Respond timely to emails and telephone messages as appropriate.
* Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies
* Intermediate skill in Microsoft Office (Word, Excel)
* Ability to learn hospital systems - ACE, VI Web, IMaCS, OnDemand quickly and fluently
* Ability to communicate in a clear and professional manner
* Must have good oral and written skills
* Strong interpersonal skills
* Above average analytical and critical thinking skills
* Ability to make sound decisions
* Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors
* Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims.
* Intermediate understanding of EOB.
* Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms.
* Ability to problem solve, prioritize duties and follow-through completely with assigned tasks.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High School diploma or equivalent. Some college coursework in business administration or accounting preferred
* 1-4 years medical claims and/or hospital collections experience
* Minimum typing requirement of 45 wpm
PHYSICAL DEMANDS
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.
* Office/Team Work Environment
* Ability to sit and work at a computer terminal for extended periods of time
WORK 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.
* Call Center environment with multiple workstations in close proximity
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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Life Premium Accounting - Representative
Fairfield, OH jobs
Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
Build your future with us
The Life Premium Accounting department currently has an opening for a life premium accounting representative I or II within the mail support area. The position will include developing the skills used in multiple areas within the department.
Hourly: The pay range for this position is $18.50 - $19.50 hourly. The pay determination is based on the applicant's education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus based on company and individual performance.
Be ready to:
* create tasks for incoming list bill payments received from the lockbox
* prepare return checks and lapse payment letters as required
* distribute electronic communications received from the lockbox
* sort and prepare various correspondence for mailing and document services
* electronically distribute incoming and returned mail
* learn about the billing and receivables practices of CLIC
* work with some or all the following systems and/or applications:
Life Pro, Fifth Third Direct, Accurate, Life Digital Suite, Report Viewer, Lexis Nexis, Microsoft Office, and other applications as needed
Be equipped with:
* excellent verbal and written communication skills
* strong attention to detail and accuracy
* the ability to accomplish goals with moderate supervision
* capability to meet deadlines as required
* excellent research and problem-solving skills
* strong keyboard skills with speed and accuracy
* knowledge of Microsoft Office products
* the ability to be goal driven
* desire for continuous learning, including pursuing accredited insurance classes/exams such as
LOMA, MAPS Certification, or equivalent
Bring education and experience from:
* a high school diploma or equivalency
* previous accounting experience (preferred)
* prior customer service experience
Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Learn more about our benefits and amenities packages.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We provide equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. Learn More.
Revenue Cycle Hospice Invoicing Specialist - Remote
Collections representative job at UnitedHealth Group
Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Revenue Cycle Analyst you will perform all revenue cycle reporting and analysis for revenue cycle leadership, operational teams, and accounting. This analysis consists of daily, weekly, monthly, ad ad-hoc reports using real-time data and information (financial, statistical and other data). The results of the analysis are then used to provide revenue cycle leadership and operations management (DVPs and other operations management) with real-time feedback. As the Revenue Cycle Analyst, you will have no direct report staff and solicits feedback from both Decision Support leadership and VP of Revenue Cycle.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Perform financial and reimbursement analysis to ensure accurate reimbursement and billing compliance
+ Conduct data mining to compile reports and provide healthcare analytics support for decision-making related to AR inventory reduction, denial management, and operational improvements
+ Compile and prepare data for use in forecasts, budgets, modeling, and analysis as requested
+ Compile statistical data for internal reports and regulatory agencies
+ Assist in creating a data warehouse with needed information (process started; work with IT to complete)
+ Collaborate with the revenue cycle team to regularly measure and improve business performance
+ Produce daily, weekly, and monthly revenue cycle reports in a timely, accurate, and consistent manner
+ Work with revenue cycle leadership to develop key performance indicators and improve reporting
+ Prepare variance analysis on under-performing agencies/PODs related to days unbilled, production issues, etc., and suggest operating improvements
+ Maintain excellent communication with supervisor, revenue cycle management personnel, and home office personnel
+ Actively participate in Monthly Operational Review meetings
+ Complete ad-hoc analysis projects as required (problem payer work, issue resolution, collection effectiveness measures, etc.).
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Bachelor's Degree
+ 2+ years in a healthcare-related field
+ 2+ years in relevant Professional Accounting/Financial Analysis experience
+ Demonstrate superior analytical skills, both financial and statistical
+ Demonstrated a natural sense of urgency in all actions
+ Demonstrated ability to use modern accounting and financial software platforms and databases
+ Demonstrated solid proficiency in Microsoft Office applications.
**Preferred Qualifications:**
+ Proven solid oral and written communication skills.
+ Excellent interpersonal skills
+ Ability to work alongside other management personnel to achieve high levels of operating performance.
+ Demonstrated ability to influence other personnel to produce improved operating outcomes.
+ Self-starter and self-motivated, able to consistently demonstrate these qualities in a fast-paced environment.
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Accounts Receivable Representative I
Cleveland, OH jobs
The Accounts Receivable Representative I at AmTrust Financial, a multi-national insurance holding company, will demonstrate a thorough understanding of Accounts Receivable processes, including Billing, Cancellations, Reinstatements, Premium Finance, and fund transfers within policies. This role involves daily work in Microsoft Excel and Outlook, reviewing installment billing on policies, processing cancellations and reinstatements, entering policy documents, reconciling invoices, and managing fund transfers. The representative will handle multiple administrative duties to ensure effective, efficient, and accurate servicing of policies while maintaining a solid understanding of AmTrust's mission, vision, and values and upholding organizational standards.
Responsibilities
Review and verify policy installment schedules for accuracy and compliance.
Process cancellations and reinstatements within established timelines.
Perform accurate data entry of policy documents and endorsements.
Generate, review, and reconcile invoices; research and resolve discrepancies.
Review and transfer funds within policies accurately and timely.
Assist agents, insureds, and underwriters with complex policy dispute functions.
Maintain daily spreadsheets using Excel (pivot tables, lookups, formulas) and Microsoft Forms.
Review daily reports within policy systems and release documents to print.
Provide excellent customer service to clients and internal stakeholders.
Work daily in Outlook to manage communications and coordinate with teams.
Follow established corporate and department policies and procedures.
May be required to work overtime during peak periods or month-end close.
Contribute to process improvements and maintain compliance with audit standards.
Performs other functionally related duties as assigned.
Core Competencies:
Attention to Detail: Ensures accuracy in billing, fund transfers, data entry, and reconciliation.
Time Management: Prioritizes tasks effectively in a fast-paced environment.
Problem Solving: Identifies discrepancies and resolves issues promptly.
Teamwork & Collaboration: Works cooperatively with internal teams and external partners.
Customer Service Orientation: Provides professional and timely responses to inquiries.
Adaptability: Adjusts to changing priorities and deadlines with flexibility.
Technical Proficiency: Demonstrates strong skills in Excel, Outlook, and policy systems.
The expected salary range for this role is $17.00-$22.00/HR.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
This is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
Qualifications
Required:
2-3 years of Accounts Receivable or Billing experience.
Proficiency in Microsoft Excel (pivot tables, VLOOKUP, formulas) and Outlook.
Excellent attention to detail and accuracy in data entry and reconciliation.
Strong written and verbal communication skills.
Customer service experience in a fast-paced environment.
Ability to multitask and prioritize effectively.
Physical presence in the office as required, hybrid schedule.
Preferred:
Insurance industry experience.
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Not ready to apply? Connect with us for general consideration.
Auto-ApplyAccounts Receivable Representative I
Cleveland, OH jobs
The Accounts Receivable Representative I at AmTrust Financial, a multi-national insurance holding company, will demonstrate a thorough understanding of Accounts Receivable processes, including Billing, Cancellations, Reinstatements, Premium Finance, and fund transfers within policies. This role involves daily work in Microsoft Excel and Outlook, reviewing installment billing on policies, processing cancellations and reinstatements, entering policy documents, reconciling invoices, and managing fund transfers. The representative will handle multiple administrative duties to ensure effective, efficient, and accurate servicing of policies while maintaining a solid understanding of AmTrust's mission, vision, and values and upholding organizational standards.
Responsibilities
Review and verify policy installment schedules for accuracy and compliance.
Process cancellations and reinstatements within established timelines.
Perform accurate data entry of policy documents and endorsements.
Generate, review, and reconcile invoices; research and resolve discrepancies.
Review and transfer funds within policies accurately and timely.
Assist agents, insureds, and underwriters with complex policy dispute functions.
Maintain daily spreadsheets using Excel (pivot tables, lookups, formulas) and Microsoft Forms.
Review daily reports within policy systems and release documents to print.
Provide excellent customer service to clients and internal stakeholders.
Work daily in Outlook to manage communications and coordinate with teams.
Follow established corporate and department policies and procedures.
May be required to work overtime during peak periods or month-end close.
Contribute to process improvements and maintain compliance with audit standards.
Performs other functionally related duties as assigned.
Core Competencies:
Attention to Detail: Ensures accuracy in billing, fund transfers, data entry, and reconciliation.
Time Management: Prioritizes tasks effectively in a fast-paced environment.
Problem Solving: Identifies discrepancies and resolves issues promptly.
Teamwork & Collaboration: Works cooperatively with internal teams and external partners.
Customer Service Orientation: Provides professional and timely responses to inquiries.
Adaptability: Adjusts to changing priorities and deadlines with flexibility.
Technical Proficiency: Demonstrates strong skills in Excel, Outlook, and policy systems.
The expected salary range for this role is $17.00-$22.00/HR.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
This is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
Qualifications
Required:
2-3 years of Accounts Receivable or Billing experience.
Proficiency in Microsoft Excel (pivot tables, VLOOKUP, formulas) and Outlook.
Excellent attention to detail and accuracy in data entry and reconciliation.
Strong written and verbal communication skills.
Customer service experience in a fast-paced environment.
Ability to multitask and prioritize effectively.
Physical presence in the office as required, hybrid schedule.
Preferred:
Insurance industry experience.
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Auto-ApplySRU Accounts Team Specialist
Columbus, OH jobs
We are seeking dedicated and detail-oriented Accounts Team Specialists to join our team. This role involves working closely with all levels of field management to ensure smooth and compliant processing of New Accounts and Account Modifications. The Accounts Team Specialists will report directly to the Regional Accounts Team Manager.
Key Responsibilities:
Review and approve New Accounts and Account Modification requests.
Provide exceptional customer service to internal partners.
Research and resolve issues and deficiencies efficiently.
Ensure timely follow-up and resolution of inquiries.
Manage a high volume of requests in a fast-paced environment.
Apply firm policies and procedures on account opening and maintenance, including KYC and CIP standards.
Stay updated on SEC/FINRA, Compliance, and firm guidelines to ensure risk mitigation.
Participate in projects and remediation efforts as needed.
Qualifications:
FINRA Series 9/10 or Series 4 and 24 required.
Excellent interpersonal and client service skills.
Strong written and verbal communication skills.
Ability to thrive in a dynamic and fast-paced environment.
Why Join Us?
Opportunity to work with a leading firm
Supportive and inclusive work culture.
Opportunities for professional development and growth.
Competitive salary and benefits package.
WHAT YOU CAN EXPECT FROM MORGAN STANLEY:
We are committed to maintaining the first-class service and high standard of excellence that have defined Morgan Stanley for over 89 years. Our values - putting clients first, doing the right thing, leading with exceptional ideas, committing to diversity and inclusion, and giving back - aren't just beliefs, they guide the decisions we make every day to do what's best for our clients, communities and more than 80,000 employees in 1,200 offices across 42 countries. At Morgan Stanley, you'll find an opportunity to work alongside the best and the brightest, in an environment where you are supported and empowered. Our teams are relentless collaborators and creative thinkers, fueled by their diverse backgrounds and experiences. We are proud to support our employees and their families at every point along their work-life journey, offering some of the most attractive and comprehensive employee benefits and perks in the industry. There's also ample opportunity to move about the business for those who show passion and grit in their work.
To learn more about our offices across the globe, please copy and paste ***************************************************** into your browser.
Morgan Stanley's goal is to build and maintain a workforce that is diverse in experience and background but uniform in reflecting our standards of integrity and excellence. Consequently, our recruiting efforts reflect our desire to attract and retain the best and brightest from all talent pools. We want to be the first choice for prospective employees.
It is the policy of the Firm to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, creed, age, sex, sex stereotype, gender, gender identity or expression, transgender, sexual orientation, national origin, citizenship, disability, marital and civil partnership/union status, pregnancy, veteran or military service status, genetic information, or any other characteristic protected by law.
Morgan Stanley is an equal opportunity employer committed to diversifying its workforce (M/F/Disability/Vet).
Auto-Apply