This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. Handles inbound and outbound calls with customers, physician offices, patients or third-party providers about the company’s products or services following standard SOPs and procedures, working under direct supervision. Ensures all contacts receive efficient and courteous service. - Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls. - Resolve questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and standard SOPs and procedures. - Request and load PBM and/or Major Medical insurance plans. - Process all non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization. - Assist physicians in the prior authorization process including initiation of prior authorizations. - May be cross-trained and/or work on Major Medical (MM) and Specialized PBM Plans. - Verify benefits for Major Medical via online resources or over the phone. - Confirm network status, review FDA guidelines, and prior authorization requirements to ensure payment of claims. - Resolve questions and problems submitted by customers and Major Medical plans following established guidelines and standard SOPs and procedures. - Facilitate the reimbursement windshields for PBM major medical claims. - Identify and assess individual customer or patient needs and provide education on or assist with grant applications, complex funding needs, commercial copay assistance enrollment along with appropriate action to satisfy those needs. - Provide primary support and expertise for specialized programs such as the patient assistance program or special handling. - Manage Pharma requirements including but not limited to warm transfers, bridge/quick start, enhanced prior authorization and appeal support. - May administer order queue such as Submission Problems or Waiting for Payment. - Document contact interactions, records details, complaints, comments, and actions taken. Qualifications - High school diploma/GED - Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction in healthcare, specialty pharmacy, PBM, call center setting or other related industry - Ability to communicate clearly and effectively (written and verbal). - Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner - Basic level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs. - Experience with providing customer service related to adherence, complex disease states quality, After Call Work (ACW), etc. - Experience in identifying operational issues and recommending and implementing strategies to resolve problems. - Intermediate level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs. Requirements - We will consider employment of qualified applicants with arrest and conviction records. Company Description Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Tired of grinding in roles that don’t pay what you produce? Here’s your chance to step into a commission-only seat with monthly residuals where your income is 100% in your control. Our client is a fast-growing life insurance brokerage with endless inbound leads, proven systems, and a culture built for killers. If you can close, you’ll never have to worry about the pipeline again. This isn’t just a job, it’s a chance to own your numbers, dominate your market, and stack serious commissions plus residuals month after month. Jayce Grayye Consulting is seeking high-performing Life Insurance Closers on behalf of a rapidly growing insurance company specializing in mortgage protection and simplified issue insurance. This is a performance-driven role built for motivated closers who want to earn based on results and make a meaningful impact, helping families protect their futures. - Hit the phones: 100+ dials per day (all inbound, no cold calling) - Convert at a 30%+ close rate - Close $3,500+ weekly in policies - Run the full sales cycle, consult, pitch, close, repeat - Build and manage your own pipeline like a pro - Thrive in a high-octane, competitive culture where only the strong survive Qualifications - 1+ year of sales closing experience, preferably in insurance, financial services, or a high-volume environment - An active life license or the ability to obtain one - Proven track record of meeting or exceeding sales quotas - Strong communication skills — able to connect, build trust, and guide clients to decisions - Ability to handle objections calmly and pivot effectively mid-conversation - Self-motivated and accountable — you take ownership of your pipeline and results - Availability and flexibility to engage leads across morning, evening, and weekend windows - Coachable mindset — you embrace feedback and are committed to continuous improvement - Genuine care for clients paired with focus on delivering results - Collaborative spirit — you contribute to a team culture of shared success Requirements - 1+ year of closing experience with $1M+ in annual revenue generated (proof required) - Obsession with winning, you don’t just want the sale, you want the leaderboard - Ability to think fast under pressure and flip objections into closes - Flexible, when money calls, you answer - Coachable, but confident in your craft - Independent, disciplined, and self-motivated Not Welcome Here - Excuse-makers - Reps who hide behind “working hours.” - Anyone who can’t back up their numbers Benefits - Competitive commission structure with monthly performance bonuses - OTE $150,000+ top performers regularly exceed this - Steady inbound lead flow provided — focus on closing, not prospecting - Comprehensive onboarding, training, and ongoing sales coaching - Strong back-end infrastructure and support team - Remote flexibility with a results-oriented culture Company Description This is for if you’re tired of being underpaid and you want a commission-only role with monthly residuals that reward killers, this is it! Uncapped commissions, monthly residuals, and a culture that pushes harder and pays bigger. Apply today and start stacking income you can count on every month.

Our Benefits: - PTO - Paid holidays - Employee Incentive Program (ICP) - Group Medical, Dental, & Vision - Educational Assistance - 401(k) Plan - Sick Time - Life Insurance/Accidental Death and Dismemberment - Long-Term and Short Term Disability - Medical and Child Care Flexible Spending Accounts - Employee Assistance Program (EAP) Job Summary The Insurance Specialist I is responsible for verifying insurance eligibility and benefits, ensuring authorization requirements are met, and completing pre-registration processes for scheduled outpatient and inpatient services. This role ensures compliance with payor guidelines and provides timely and accurate communication with patients, providers, and medical office staff. The Insurance Specialist I supports the financial clearance process by educating patients on insurance benefits and financial responsibilities while maintaining high standards of accuracy and professionalism. Essential Functions: - Verifies insurance eligibility and benefits for scheduled and unscheduled services to ensure coverage and compliance with payor requirements. - Calculates and communicates the patient’s estimated financial responsibility for scheduled services. - Identifies and ensures authorization and referral requirements are met in accordance with payor guidelines. - Validates and documents all authorizations and referrals according to established policies. - Reviews and determines the medical necessity of scheduled services based on payor criteria. - Accurately documents and maintains all required records and communications in compliance with organizational standards. - Communicates effectively and professionally with patients, physicians, and medical office staff to resolve inquiries and ensure adherence to payor requirements. - Educates patients on insurance coverage, benefits, and financial responsibility, ensuring clear understanding. - Processes and indexes incoming orders promptly and ensures compliance with documentation standards. - Provides timely notification of admission or observation status per payor guidelines for inpatient and observation services. - Performs other duties as assigned. - Complies with all policies and standards. - This is a remote position. Qualifications 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. - Required: - Education: H.S. Diploma or GED - Experience: 0-1 years of experience in insurance verification, medical billing, or healthcare revenue cycle Knowledge, Skills and Abilities: - Strong knowledge of insurance plans, authorization requirements, and medical necessity guidelines. - Proficiency in Microsoft Office Suite and healthcare information systems (e.g., EMR, eligibility portals). - Excellent attention to detail and organizational skills. - Strong communication and interpersonal skills to interact effectively with patients and healthcare professionals. - Ability to work in a fast-paced environment and manage multiple priorities effectively. We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Sarasota SSC operates in support of our hospitals and patients and our commitment is to provide them with exemplary revenue cycle services defined by outstanding customer service and superior revenue cycle performance. SSC Sarasota supports facilities located primarily in Florida, Georgia, Indiana, and Pennsylvania. Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers. INDSSFLRCSC

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: - Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. - Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. - Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: - Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement - This position pays between $17.00 - $18.65/hr based on experience The Insurance Authorization Specialist is responsible for performing insurance authorization for all patients scheduled for services. Insurance Authorization Specialist I will work within the policies and processes as they are being performed across the entire organization. Insurance Authorization Responsibilities include: - The Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety and working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment. - Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval. - Will be the liaison between the ordering physician and insurance company to ensure any and all requirements to secure approval are identified and communicated. Experience We Love: - Knowledge of appeals concepts and principles - Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements - Ability to use independent judgement and to manage and impart confidential information - Ability to analyze - Strong written communication and interpersonal skills - Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation - Knowledge of current and developing issues and trends in medical coding procedures requirements - Ability to clearly communicate medical information to professional practitioners and/or the general public - Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements - Ability to provide guidance and training to professional and technical staff in area of expertise. - Ability to flex work schedule on an as needed basis to meet the business needs. Required Qualifications: - High school diploma or GED - 2+ years of Insurance Authorization experience Certification: - Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 - Innovation - Work-Life Flexibility - Leadership - Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: - Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. - Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. - Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. - Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range. EEOC – Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights