• Bill facility (HB) and professional (PB) claims to insurance payers or other entities per SBO standard work. • Submit basic itemized statements, medical records, and other required information to insurance payors via clearinghouse, mail, or other electronic means. • Verify and update insurance coverage as applicable using EHR tools, payer websites, or via phone calls to payers. • Resolve complex billing related claim edits within EHR, DNBs and Stop Bills. • Resolve complex payer rejections including Medicare return to provider (RTP) and clearinghouse rejections (277’s). • Split and combine claims as required by payer. • Obtain ICN’s for pending corrected claims using EHR tools, payer websites, or via phone call to payers. • Apply intermediate knowledge of current reimbursement methodologies as defined by department complexity matrix. • Apply intermediate knowledge of billing requirements as defined by department complexity matrix. • Process late charges using the late charge functionality. • Generate and release medical records. • Split charges to a separate HAR or liability bucket and combine charges to a single HAR as needed. • Submit corrected claims. • Update claim information including ICN, authorizations, billing information, or other required claim elements.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Join our team as a part-time Insurance Specialist supporting Florida-based operations. This role is ideal for a detail-oriented professional with extensive experience in US insurance processing and client communication. - Manage inbound and outbound client phone communications fluently. - Prepare and deliver accurate insurance quotes for new policies and renewals. - Process Florida homeowners and auto insurance applications efficiently. - Utilize Citizens portal, PL Rater, and QQ Catalyst for all daily insurance tasks. - Maintain strict compliance with industry standards and client requirements. Qualifications - 2+ years of Florida experience in Personal Lines Insurance VA role. - Proven hands-on experience with Florida homeowners and auto insurance. - Technical proficiency in Citizens portal, PL Rater, and QQ Catalyst. - Exceptional English communication skills for professional phone handling. - Reliable internet connection and availability during U.S. business hours.

Benefits: - 401(k) - 401(k) matching - Bonus based on performance - Company parties - Dental insurance - Flexible schedule - Health insurance - Opportunity for advancement - Training & development - Vision insurance Are you someone who thrives on competition, teamwork, and achieving excellence? The Frey Region at Modern Woodmen of America is seeking driven professionals who want to build a career as holistic financial planners, individuals passionate about helping others achieve both financial protection and financial growth. Our team is made up of motivated, service-minded leaders dedicated to making a meaningful difference in the lives of our members and communities. If you’re ready to take on new challenges, grow your career, and make a lasting impact, we’d love to connect with you. At the Frey Region of Modern Woodmen of America, our mission is to foster a culture where every Financial Representative feels supported, confident, and equipped to succeed. We believe that success begins with hands-on leadership and ongoing mentorship, ensuring our team always has a trusted leader to turn to for guidance and growth. This commitment extends far beyond initial training; it is a lifelong promise. At the Frey Region, our representatives are in business for themselves but never by themselves. We take pride in cultivating a collaborative environment where each member has the tools, knowledge, and encouragement to deliver personalized, compassionate, and knowledgeable service to every client. Together, we are building not just successful practices but lasting relationships and stronger communities. Watch this short video to see how sharing meaningful moments—both personal and professional—can transform perspectives on a career in financial services with Modern Woodmen of America: https://youtu.be/-qWeFzHB-ck About Modern Woodmen: Modern Woodmen is about people. Created for our members. Owned and operated by them too. Together, we’re here for each other, for our families and for the communities we love. We are a member-owned fraternal financial services organization. Together with over 700,000 members, we’ve been touching lives and securing futures since 1883. Modern Woodmen's financial strength is anchored in a robust asset base of $17.14 billion. Guided by a prudent investment philosophy, the organization focuses on high-quality, diversified investments with high industry ratings from A.M. Best and KBRA. With a surplus of $2.42 billion and a solvency ratio of 116.41%, Modern Woodmen is committed to ensuring additional protection for its members, affirming its dedication to long-term financial stability. Meet Our Regional Director: Danny Frey II is Regional Director for Modern Woodmen of America, where he focuses on helping members and advisors create lasting impact through financial guidance and community involvement. With nearly 19 years in the industry, Danny brings a blend of experience, leadership, and dedication to Modern Woodmen’s mission of making lives better through service and fraternalism. Before joining the organization in 2007, he owned and operated his own bar and grill, which fueled his passion for building relationships and leading with purpose. Outside of work, Danny enjoys supporting his kids’ sports and spending time working on cars. Role Responsibilities: - Member Consultation: Meet with client members to assess their insurance needs and recommend appropriate coverage. - Customer Service: Provide exceptional customer service, addressing client inquiries and resolving issues promptly. - Networking: Build and maintain a network of client members through referrals, networking events, and community engagement. - Training and Development: Participate in ongoing training and professional development to stay current with industry changes and enhance sales skills. - Target Achievement: Meet or exceed business development goals. Perks/Benefits: - Strong income opportunity - Potential to earn client member leads - Once you reach our qualification standards we will consider allocating resources to support you to recruit, train and develop your own team of talented professionals. - Exclusive training/development with the financial services professional supporting you - An environment and culture of mutual support and growth - Attainment of prestigious credentials and recognition - Consistent opportunities for growing your income and character - Strong benefits and retirement package - Dental, health, and vision insurance - Flexible schedule - Life insurance - Professional development assistance - Referral program Qualifications: - Team-Oriented - Enthusiastic - Positive attitude - Self-Starter - Community-Focused - Coachable - Athletic background (bonus) - Military background (bonus) - Goal-Driven - Willingness to obtain state insurance license - College degree (preferred, not required) If you're ready to unleash your competitive drive and embark on a career that changes lives, join our team. Flexible work from home options available.

Benefits: - 401(k) - 401(k) matching - Bonus based on performance - Company parties - Dental insurance - Flexible schedule - Health insurance - Opportunity for advancement - Training & development - Vision insurance Are you someone who thrives on competition, teamwork, and achieving excellence? The Frey Region at Modern Woodmen of America is seeking driven professionals who want to build a career as holistic financial planners, individuals passionate about helping others achieve both financial protection and financial growth. Our team is made up of motivated, service-minded leaders dedicated to making a meaningful difference in the lives of our members and communities. If you’re ready to take on new challenges, grow your career, and make a lasting impact, we’d love to connect with you. At the Frey Region of Modern Woodmen of America, our mission is to foster a culture where every Financial Representative feels supported, confident, and equipped to succeed. We believe that success begins with hands-on leadership and ongoing mentorship, ensuring our team always has a trusted leader to turn to for guidance and growth. This commitment extends far beyond initial training; it is a lifelong promise. At the Frey Region, our representatives are in business for themselves but never by themselves. We take pride in cultivating a collaborative environment where each member has the tools, knowledge, and encouragement to deliver personalized, compassionate, and knowledgeable service to every client. Together, we are building not just successful practices but lasting relationships and stronger communities. Watch this short video to see how sharing meaningful moments—both personal and professional—can transform perspectives on a career in financial services with Modern Woodmen of America: https://youtu.be/-qWeFzHB-ck About Modern Woodmen: Modern Woodmen is about people. Created for our members. Owned and operated by them too. Together, we’re here for each other, for our families and for the communities we love. We are a member-owned fraternal financial services organization. Together with over 700,000 members, we’ve been touching lives and securing futures since 1883. Modern Woodmen's financial strength is anchored in a robust asset base of $17.14 billion. Guided by a prudent investment philosophy, the organization focuses on high-quality, diversified investments with high industry ratings from A.M. Best and KBRA. With a surplus of $2.42 billion and a solvency ratio of 116.41%, Modern Woodmen is committed to ensuring additional protection for its members, affirming its dedication to long-term financial stability. Meet Our Regional Director: Danny Frey II is Regional Director for Modern Woodmen of America, where he focuses on helping members and advisors create lasting impact through financial guidance and community involvement. With nearly 19 years in the industry, Danny brings a blend of experience, leadership, and dedication to Modern Woodmen’s mission of making lives better through service and fraternalism. Before joining the organization in 2007, he owned and operated his own bar and grill, which fueled his passion for building relationships and leading with purpose. Outside of work, Danny enjoys supporting his kids’ sports and spending time working on cars. Role Responsibilities: - Member Consultation: Meet with client members to assess their insurance needs and recommend appropriate coverage. - Customer Service: Provide exceptional customer service, addressing client inquiries and resolving issues promptly. - Networking: Build and maintain a network of client members through referrals, networking events, and community engagement. - Training and Development: Participate in ongoing training and professional development to stay current with industry changes and enhance sales skills. - Target Achievement: Meet or exceed business development goals. Perks/Benefits: - Strong income opportunity - Potential to earn client member leads - Once you reach our qualification standards we will consider allocating resources to support you to recruit, train and develop your own team of talented professionals. - Exclusive training/development with the financial services professional supporting you - An environment and culture of mutual support and growth - Attainment of prestigious credentials and recognition - Consistent opportunities for growing your income and character - Strong benefits and retirement package - Dental, health, and vision insurance - Flexible schedule - Life insurance - Professional development assistance - Referral program Qualifications: - Team-Oriented - Enthusiastic - Positive attitude - Self-Starter - Community-Focused - Coachable - Athletic background (bonus) - Military background (bonus) - Goal-Driven - Willingness to obtain state insurance license - College degree (preferred, not required) If you're ready to unleash your competitive drive and embark on a career that changes lives, join our team. Flexible work from home options available.