HCA - Hospital Corporation of America was established in 1968 as one of the first hospital companies in the United States. Over the last 40 years, Hospital Corp
Precertification Representative
Location
Florida + 13 moreAll locations: Florida | Georgia | Idaho | Kansas | Kentucky | Missouri | Nevada | New Hampshire | North Carolina | South Carolina | Tennessee | Texas | Utah | Virginia
Posted
86 days ago
Salary
0
Seniority
Entry Level
No structured requirement data.
Job Description
Precertification Representative
HCA - Hospital Corporation of America
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We are Farmers – where ambition meets opportunity. At Farmers, we’re not just known for unforgettable jingle – we’re a team with a passion for purpose and making a real difference in people’s lives. We deliver peace of mind when it matters most. Our results-driven, high-performance culture thrives on creativity, accountability and bold solutions. Here, growth isn’t just a goal – it’s a way of life for both the organization and every individual on our team. We tackle challenges head-on, learn from every experience and measure our impact on the customers who trust us. Join an award-winning, equal opportunity employer, where you’ll find more than a job – you’ll find a supportive community. Enjoy competitive benefits, take part in meaningful volunteer projects, and help shape the future alongside talented colleagues across all backgrounds. At Farmers, helping others is at the heart of what we do. Ready to make your mark? Discover our vibrant culture and explore career opportunities at www.Farmers.com/careers/corporate. Connect with us on Instagram, LinkedIn and TikTok, and let’s build something incredible together! Workplace: Remote ( #LI-Remote ) Farmers believes in a culture of collaboration, creativity, and innovation, which thrives when we have the ability to work flexibly in a virtual setting as well as the opportunity to be together in person. Our hybrid work environment combines the best of both worlds with at least three (3) days in office and up to two (2) days virtual for employees who live within fifty (50) miles of a Farmers corporate office. Applicants beyond fifty (50) miles may still be considered. Job Summary To be considered for this role applicants need to have a non-expired and current P&C License. If you are the kind of person who likes to solve problems and help others when they need it, you could be a perfect fit to grow your career with Farmers. This position is a critical part of Farmers Insurance as it supports our customers and agents. You will be the first point of contact for our customers, supporting inquiries and insurance policy needs by answering questions regarding coverage, rates, billing issues, and general policy reviews. We care about your professional development at Farmers, so we offer paid training with our renowned University of Farmers before you start serving customers, so you can succeed in this role! In this role you will: - Deliver exceptional customer service while proactively seeking solutions within compliance and legal requirements. - Communicate with customers and agents via multiple channels (phone, chats, emails) while navigating multiple systems and platforms. - Start Date (for non-licensed): Tuesday, March 24th - Start Date (for licensed): Tuesday, April 21st - Location: This position will be FULLY REMOTE. - You must be located in one of the following states: Florida, Idaho, Iowa, Kansas, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Texas, Utah, Vermont, West Virginia or Wyoming. - You will need to provide a quiet, distraction-free environment and high-speed internet. - Training: - Training will last approximately 2-3 months through our award-winning University of Farmers. - Throughout this paid training, you'll experience a blend of instructor led skills training, peer mentoring, and coaching in a live, real-world environment designed to ease you into live work with our agents and/or customers. - Working Hours During Training and After Training: Monday-Friday 11am - 7:30 PM CST - Pay is $22.31/hour to $23.74/hour based solely on a few factors. - Annual performance-based bonus potential up to 10%. Interested in earning more? We are a performance-based company where you could potentially more based on company and individual performance goals (ask your Recruiter for details)! - As a Customer Care Representative, you’ll enjoy our Total Rewards Program to help secure your financial future and preserve your health and well-being including: 401(K) Plan, Generous PTO, Tuition Reimbursement, Paid Training, and much more. Essential Job Functions - Receive and respond to inquiries related to insurance matters. Interact with customers, agents, and others to resolve moderately complex issues regarding policy provisions and conditions. Evaluate and interpret policy information within prescribed authority limits. - Access account information and communicate while working in multiple systems. Use account information, deep product knowledge, and knowledge of compliance or legal requirements to make appropriate recommendations or decisions. Document customer interactions and outcomes thoroughly in system. - Escalate unresolved issues requiring advanced support for further resolution. - Build knowledge and acumen through self-directed learning. Stay informed about underwriting and policy guidelines and other updates including compliance and legal requirements. Help maintain department knowledge resources to keep them current. - Actively listen to customer concerns to identify trends or patterns. Recognize opportunities for process improvement and makes recommendations to leadership. - Partner with various departments including Policy Support, Claims and Underwriting to respond to customer inquiries. May work with external vendors to further address customer needs. - Adhere to assigned, tightly regulated schedule and follow procedures for requesting time off. Education Requirements - High School Diploma or equivalent required. - Property and Casualty license will be required for this role. 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Benefits - Farmers offers a competitive salary commensurate with experience, qualifications and location. o CA Only: $22.82 - $38.61 o CO Only: $21.45 - $33.48 o HI/IL/MN/VT Only: $21.45 - $35.70 o MA Only: $21.45 - $35.70 - o MD Only: $21.45 - $35.70 o DC/NJ/NY/OH Only: $21.45 - $38.61 o Albany County, NY/Cleveland, OH: $22.82 - $33.48 o WA Only: $21.45 - $40.56 - Bonus Opportunity (based on Company and Individual Performance) - 401(k) - Medical - Dental - Vision - Health Savings and Flexible Spending Accounts - Life Insurance - Paid Time Off - Paid Parental Leave - Tuition Assistance - For more information, review “What we offer” on https://www.farmers.com/careers/corporate/#offer Job Location(s): US - AZ, US - CO, US - TX, US - UT Anticipated application deadline: At Farmers, the recruitment process is designed to ensure that we find the best talent to join our team. As part of this process, we typically close open positions within 8 to 21 days after posting. If you are interested in any of our open positions, we encourage you to submit your application promptly. Farmers will consider for employment all qualified applicants, including those with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance or other applicable law. Pursuant to 18 U.S.C. Section 1033, Farmers is prohibited from employing any individual who has been convicted of any criminal felony involving dishonesty or a breach of trust without prior written consent from the state Department of Insurance. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. 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Allied Care Navigator
Allied Benefit SystemsA healthcare solutions company, Allied Benefit Systems offers insurance products and custom insurance services to individuals and businesses as one of the largest third-party admin
Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $25.00 - $28.00 HourlyJob Category: Medical Management POSITION SUMMARY The Allied Care Navigator is responsible for providing concierge-level support to members through their care journey, assisting with finding a curated list of high-quality, low-cost specialists in their network. They have a comprehensive understanding of member’s medical plan, employer point solutions available, assist with scheduling appointments, and providing ongoing assistance. They utilize their past industry experience and critical thinking in a collaborative process to review and facilitate appropriate health services and benefits for members. ESSENTIAL FUNCTIONS: An extensive understanding of medical plan documents, member advocacy, and cost containment programs, and employer point solutions available to assist members with understanding their covered benefits and financial responsibility for services. Maintain a professional and empathetic demeanor while being responsive to member inquiries to prevent delays in care. Ability to communicate effectively both verbally and in writing to all parties involved in the member’s referral process; ensuring coordination of care is conducted and ongoing support is provided through the confirmation of services being performed. Utilize best in class web-based tools to research high-quality and cost-effective providers in the member's network, maximizing their benefits and providing a curated list. Independently manage daily tasks within internal systems within assigned turnaround times. Tasks include, but are not limited to, responses to inquiries made by members and providers and confirmation of appointment attendance and scheduling. Document potential impact and savings following appointment confirmation to ensure accurate reporting of the value of the service provided. Collaborate with internal and external partners to coordinate member care, document updates in appropriate systems, and update ongoing impacts. Develop and maintain written operational procedures for all tasks performed and cross train to provide effective support to all team members. Strategize with Medical Management Leadership to discuss trends identified related to member cases. Performs other related duties as assigned. EDUCATION Bachelor's degree or equivalent work experience required. EXPERIENCE AND SKILLS: 2+ years of experience member advocacy or care coordination. Working knowledge of employee medical benefit plans. Experience with Group health insurance and self-funded health plans preferred. Highly skilled in written and verbal communication. Intermediate level work experience with Microsoft Office suite of products. POSITION COMPETENCIES: Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS: This is a standard desk role – long periods of sitting and working on a computer are required. WORK ENVIRONMENT: Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.Qualifications
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Based on performance and evolving business needs, this contract may be extended for up to 9 months. As a Care Coordinator at 9amHealth, you'll provide comprehensive support to our members. You'll play a key role in the Care Team, directly interacting with members through phone, text, email, and messaging. You'll collaborate with clinical specialists to ensure a seamless healthcare experience. As the first point of contact, you'll assist members with questions ranging from enrollment to their care journey, and directing them to the appropriate team members to address their needs promptly and kindly. You'll be part of an empathetic and motivated team that values open communication and feedback and deeply cares for each member. In the Care Coordinator role, we prioritize maximizing coverage to provide an enhanced, personalized member experience that goes above and beyond the typical doctor's office. Responding to members through various channels is the top priority of this role. Each communication channel is assigned and prioritized by the team in the following order: - Inbound phone calls - Including calls from partnership teams - Inbound in app messages and text messages - Inbound emails - Other assigned duties as notated in the daily schedule. Shifts Available Tue-Sat 6:00am - 2:30pm PST Tue-Sat 5:00am - 1:30pm PST (Sat: 5:30am - 2:00pm PST) Mon-Fri 9:30am - 6:00pm PST Sun-Thu 9:30am - 6:00pm PST (Sun: 6:00am - 2:30pm PST) What you’ll do - Provide timely technical and product support via messaging and phone calls to our members, ensuring all inquiries meet or exceed established SLAs (Service Level Agreements). - Proactively follow up on unresolved inquiries or issues to ensure full resolution. - Work closely with the clinical team members to ensure accurate and timely information is conveyed to members. - Accurately document all member interactions in the appropriate systems to ensure seamless care coordination. - Manage and maintain up to date member information, respecting confidentiality and data protection protocols. - Become an expert on 9amHealth’s products and services. - Assist members in navigating complex insurance approval processes. - Identify trends affecting the broader member base and communicate insights to the team. - Maintain a positive and empathetic attitude in all interactions, including being a champion for changes, whether this is new processes, new clients, and/or new responsibilities. - Consistently meet or exceed customer satisfaction metrics. - Important: This job description is not intended to be a comprehensive list of all activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change or new ones may be assigned at any time, with or without notice. 9amHealth reserves the right to modify job duties or assign additional responsibilities as needed to support business objectives. What you’ll need - Minimum Qualifications - 2+ years of experience in customer service in a healthcare setting. - Strong written and verbal communication skills, with the ability to explain complex healthcare information clearly and empathetically. - Excellent problem solving skills, including de-escalation and quick resolution abilities. - Proficiency in using customer service platforms (e.g., Zendesk) and healthcare platforms (e.g., EMRs) for patient communication, documentation, and data management. - Ability to multitask and manage priorities in a fast-paced environment. - Compassionate, patient focused approach, committed to delivering excellent care and support. - Willingness to work flexible hours, including early mornings, evenings, or weekends, based on business needs. - Reliable high speed internet and a quiet, distraction-free workspace to ensure patient privacy. - Familiarity with insurance processes (e.g., prior authorizations, claims) and managing confidential patient data in compliance with HIPAA. - Preferred Qualifications - Proven self starter with a positive, motivational attitude, demonstrating initiative and the ability to work independently while inspiring and encouraging team members. - Experience working at a health tech startup - Proficiency in speaking Spanish Hourly pay up to $23/hour What you can expect at 9amHealth At 9amHealth, you'll join the exciting environment of a startup with the stability of highly experienced founders that have successfully built a business from scratch. We foster a collaborative learning mindset and a passion for improvement. You'll work with a brand-new product alongside a small, flexible team of people eager to shape technology, infrastructure, and culture. Our team members are spread across the globe, with physical sites in San Diego, California, and Vienna, Austria, but we value your culture regardless of where you work. We offer a comprehensive benefits package, including health, dental, and vision insurance, along with flexible PTO and work from home options. We provide a professional development budget and support continuing education, empowering our team to grow alongside the company. Team members have the opportunity to make a meaningful impact on chronic disease management and patient outcomes while contributing to a collaborative, mission driven culture focused on improving healthcare accessibility and affordability. Our commitment to diversity and inclusion Diabetes disproportionately impacts BIPOC (black, indigenous, and people of color) communities. We are committed to creating a workforce that reflects our patients and creating a positive healthcare experience for them. We welcome applications from people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, and foreign born residents.
Client Support Specialist – Home Warranty, Evening/Weekend
AssurantHelping people thrive in a connected world.
• Responsible for servicer inquiries through phone calls, emails, or webforms • Support the claims process for repairs of home appliances, consumer electronics, plumbing, HVAC, & electrical systems • Make repair and/or settlement decisions using appropriate steps • Utilize approved vendors to procure parts for service providers or customers • Complete audits and validate incoming provider claims • Enforce independent servicer agreements • Manage multiple issues/cases at one time • Communicate with internal and external stakeholders • Draft written correspondence to customers and service providers



