JOB SUMMARY The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization's reimbursement from payers for patient accounts that are scheduled and unscheduled. ESSENTIAL FUNCTIONS OF THE ROLE Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization. Coordinates the submission of clinical documentation from physicians to payers for authorization needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patients account prior to scheduled or unscheduled service during the patient’s hospital stay. Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits. Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. KEY SUCCESS FACTORS 1 year of healthcare or customer service experience preferred. Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality. Ability to understand and adhere to payer guidelines by plan and service type. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations. Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office. BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience

Role Description Seguros Atlas busca formar equipos de alto rendimiento, iniciando la carrera como Agentes de Seguros en una compañía que se caracteriza por la capacitación, desarrollo y crecimiento al principal activo de su empresa, su gente. - Financiamos Curso, Exámen Cédula - Buscamos Personas: - Con éxitos en su trayectoria laboral - Orientado al logro de metas - Motivada por el dinero - Alto nivel de energía - Con carácter e integridad - Perseverante - Espíritu Emprendedor - Visión de Negocios - Estabilidad Financiera - Habilidad para relacionarse con la gente - Trabajo presión y de alto desempeño Qualifications - Sexo: Indistinto - Edad: De 30 a 45 años - Estado Civil: Preferentemente Casado - Escolaridad: Licenciatura terminada o Trunca - Necesidad de Ingresos: Superiores a $30,000 - Disponibilidad de tiempo: Completo - Excelente imagen Benefits - Oportunidad única de desarrollo personal y profesional - Desarrollo y Capacitación constante - Ingresos de acuerdo a resultados - Premios, bonos y convenciones

Role Description This is a 100% remote opportunity; however, please only apply if you have 3 to 5 years of medical insurance collections experience. AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services that includes: - Contract analysis - Reimbursement - Denial management - Appeals - Resolving billing-related issues with insurance companies or other responsible parties for services rendered The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities. Qualifications - A high school diploma or general education degree (GED) equivalent is required - 3-5 years of healthcare industry experience required - 3-5 years of medical billing and collections experience required - Home Infusion, Intrathecal Pain Management experience preferred Requirements - Recognizes patients’ rights and responsibilities and supports them in the performance of job duties, respects patient’s rights to privacy and confidentiality - Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary - Evaluates payments/denials received for correctness and ensures they are applied accordingly - Identifies bad debt write-offs and A/R adjustments; initiates write-offs and adjustments in accordance with policies and procedures - Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly - Processes refund requests, in accordance with policies and procedures - Maintains contact with other departments to obtain patient or insurance information needed for claim payment - Responsible for understanding all procedures within regulatory mandates - Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements - Makes calls to troubleshoot payment discrepancies and establish resolution - Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis - Consistently looks for areas to maximize claim reimbursement - Resolves issues that created a denial within 5 days of receipt of denial - Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations - Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies - Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes - Shares knowledge gained with other staff members and works as a team member - Interacts with others in a positive, respectful, and considerate manner - Performs other job-related duties as assigned Benefits - Health, vision, and dental insurance - Long term disability insurance - Life insurance - Vacation package - 401K plan with a generous employer contribution - 100% work from home model Steps to Apply To apply for this role, you must complete a Culture Index Assessment to be considered. Please note that your application will not be considered if the Assessment is not completed. Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete. portal.cultureindex.com/public/survey/general/0BFB8F0000

Patrique Mercier Recruitment FR is delighted to offer a position for a German Speaking Customer Service Representative at a reputable insurance company based in Greece. This role involves providing excellent customer support to German-speaking clients, assisting them with their insurance inquiries and claims. Responsibilities - Provide professional and efficient customer service to German-speaking clients via phone, email, and chat regarding insurance products and services. - Assist customers with policy information, claims processing, and other insurance-related inquiries. - Handle customer complaints and resolve issues promptly to ensure customer satisfaction and retention. - Maintain comprehensive knowledge of company insurance products, terms, and conditions. - Document customer interactions accurately and maintain detailed records for compliance. - Collaborate with internal teams to facilitate prompt resolution of complex client issues.