• Answer inbound calls and navigate database to transfer callers • Process on-call via alpha page or phone call • Provide assistance in emergency situations • Answer routine questions and provide information to the public • Perform various data entry tasks

Overview: Resolv Healthcare is seeking a Patient Account Representative to join our dynamic team. As a Patient Account Representative, you will monitor assigned patient accounts for accurate and timely payment of claims by managing work queue, aging lists, and claims correspondence; reviews claim denials for problem areas; resubmits claims and files appeals as necessary. Job Description: - Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts. - Verifies completeness and accuracy of billing data and revises any errors. - Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration. - Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines. - Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations. - Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines. - Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information. - Requires regular and prompt attendance. - Maintains and protects confidentiality in all aspects of patient health information, proprietary information, and employee information. - Manages customer/client interactions in a professional manner; responds promptly to requests for service and assistance and meets those commitments. - Demonstrates the spirit of the philosophy, mission, and values of IMD through words and actions, and implements them into department processes, programs, and the working environment. Requirements: - Minimum 2-year prior Medicare Facility experience utilizing DDE along with working Denials, Accounts Receivable and Appeals - EPIC experience a plus. - Proficient in Microsoft Office, Internet, and medical billing systems. - Ability to work effectively and relate well to patients, clients, colleagues, and individuals inside and outside the company. - Ability to communicate both verbally and in writing to individuals inside and outside the company. - Ability to work in a fast-paced environment with demonstrated ability to prioritize multiple, competing tasks and demands, and to seek supervisory assistance as appropriate.

Are you ready to unlock a high-income career from the comfort of your home office? Do you thrive in a remote work environment and have a passion for helping people? Join Vanguard Nexus, one of America's fastest-growing companies, a nationally recognized leader in the insurance and financial services space, as seen in Forbes and on the Inc. 5000 list for six consecutive years! We're rapidly expanding our team and seeking highly motivated, remote Account Sales Representatives to make a significant impact. Position Overview: Sales Representative (No Cold Calling!) As a Sales Representative at Vanguard Nexus, you'll connect with clients across the country who are actively seeking insurance and financial solutions. This is a unique opportunity to build a rewarding career with unlimited earning potential and the flexibility to set your own schedule. Your day-to-day will involve: - Building meaningful client relationships through authentic, consultative conversations. - Assessing client needs and recommending personalized insurance and financial products. - Conducting virtual meetings via Zoom or phone to deliver compelling product presentations. - Responding to inbound leads – that's right, no cold calling! - Managing the full sales cycle, from consultation to close, with commissions paid within 72 hours. We're Looking for Energetic, Driven & Remote-Ready Professionals! The ideal candidate for this work-from-home sales role is: - A Relationship-Builder: You connect easily with others and genuinely enjoy helping people achieve their financial goals. - Highly Driven & Self-Managed: You take initiative and thrive in a flexible, remote work environment where you manage your own schedule and performance. - Energetic and Optimistic: You bring a positive attitude to every client interaction and team meeting, fostering strong connections. What Vanguard Nexus Offers You: We believe in rewarding top performance and providing the resources you need to succeed in your remote sales career with Vanguard Nexus: - Uncapped Commission Structure: Your hard work directly translates into your income. There's no limit to what you can earn! - Work-from-Anywhere Flexibility: Design your ideal work-life balance. Create your own schedule and work from wherever you’re most productive. - Full time with opportunity to grow - Health & Wellness Resources: Access to life insurance and our healthcare exchange (medical, dental, vision) to support your well-being. - Luxury Incentive Trips: Top performers are rewarded with all-expense-paid travel opportunities to incredible destinations! Important Note: Independent Contractor Role Please note, this is a 1099 independent contractor role. Compensation is commission-only and based entirely on your performance. Earnings are uncapped, offering you true financial freedom. Ready to take control of your career and join a winning remote team at Vanguard Nexus? Apply today!

Are you ready to unlock a high-income career from the comfort of your home office? Do you thrive in a remote work environment and have a passion for helping people? Join Vanguard Nexus, one of America's fastest-growing companies, a nationally recognized leader in the insurance and financial services space, as seen in Forbes and on the Inc. 5000 list for six consecutive years! We're rapidly expanding our team and seeking highly motivated, remote Account Sales Representatives to make a significant impact. Position Overview: Sales Representative (No Cold Calling!) As a Sales Representative at Vanguard Nexus, you'll connect with clients across the country who are actively seeking insurance and financial solutions. This is a unique opportunity to build a rewarding career with unlimited earning potential and the flexibility to set your own schedule. Your day-to-day will involve: - Building meaningful client relationships through authentic, consultative conversations. - Assessing client needs and recommending personalized insurance and financial products. - Conducting virtual meetings via Zoom or phone to deliver compelling product presentations. - Responding to inbound leads – that's right, no cold calling! - Managing the full sales cycle, from consultation to close, with commissions paid within 72 hours. We're Looking for Energetic, Driven & Remote-Ready Professionals! The ideal candidate for this work-from-home sales role is: - A Relationship-Builder: You connect easily with others and genuinely enjoy helping people achieve their financial goals. - Highly Driven & Self-Managed: You take initiative and thrive in a flexible, remote work environment where you manage your own schedule and performance. - Energetic and Optimistic: You bring a positive attitude to every client interaction and team meeting, fostering strong connections. What Vanguard Nexus Offers You: We believe in rewarding top performance and providing the resources you need to succeed in your remote sales career with Vanguard Nexus: - Uncapped Commission Structure: Your hard work directly translates into your income. There's no limit to what you can earn! - Work-from-Anywhere Flexibility: Design your ideal work-life balance. Create your own schedule and work from wherever you’re most productive. - Full time with opportunity to grow - Health & Wellness Resources: Access to life insurance and our healthcare exchange (medical, dental, vision) to support your well-being. - Luxury Incentive Trips: Top performers are rewarded with all-expense-paid travel opportunities to incredible destinations! Important Note: Independent Contractor Role Please note, this is a 1099 independent contractor role. Compensation is commission-only and based entirely on your performance. Earnings are uncapped, offering you true financial freedom. Ready to take control of your career and join a winning remote team at Vanguard Nexus? Apply today!