• Process provider credentialing applications • Manage CAQH provider profiles and updates • Credential providers with insurance networks such as: • Aetna • Cigna • UnitedHealthcare • Blue Cross Blue Shield • Tricare • Maintain credentialing documents and licenses • Track credentialing status and payer approvals • Follow up with insurance companies regarding applications • Ensure compliance with payer and regulatory requirements

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Bring your passion to Texas Health So We Are Better + Together - Work Location: Remote (candidates must live within the DFW Metroplex) – Will meet at Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011, quarterly. - Work Hours: Full-Time: Monday - Friday from 8:00am to 4:30pm Department Highlights: - The overall health and well-being of our team members is a high priority. Self-care is not only supported but highly encouraged. - Fun collaborative environment. Your voice will be heard! - We encourage growth in your career. Qualifications - High School Diploma or Equivalent is required. - 1 Year Experience in business office in healthcare environment/patient access in hospital setting/call center in healthcare environment/ Revenue Cycle experience in healthcare required. - Working knowledge of Medical Terminology preferred. - Insurance verification knowledge preferred. - CHAA - Certified Healthcare Access Associate Upon Hire preferred. Requirements - Must have the ability to consistently meet performance standards of production, accuracy, performing due diligence and quality. - Requires good listening and communication skills, and professional telephone etiquette. - 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. What You Will Do - Completes patient accounts by verifying eligibility, benefits and ensuring all notifications and authorizations are completed within the required timeframe. - Communicates timely with Pre Access, Utilization Review, Financial Counselors, and Physician Offices to ensure verification of the patient's account prior to scheduled or unscheduled service during the patient's hospital stay. - Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. - Utilizes tools such as Trace, OneSource, Web Portals, etc. to complete verifications, precertifications, and notifications as required in order to ensure the system maximizes revenue for the account. - Logs into Avaya System and phone queue. - Stays abreast of and complies with applicable regulations, department and/or system policies and procedures. - Ability to know and adhere to payer guidelines by plan and service type. - Completes other duties as assigned. Benefits - Benefits include 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more. Company Description - At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve”. - Our award-winning culture is a tribute to our amazing employees. We’re thrilled to be a 2023 FORTUNE Magazine’s “100 Best Companies to Work For®” for the 9th year in a row! - We strive to create an atmosphere of respect, integrity, compassion, and excellence for all. - We’re committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic, and generational boundaries. - As part of the Texas Health family and its 28,000+ employees, we’re one of the largest employers in the Dallas Fort Worth area. - Our career growth and professional development opportunities are top-notch, and our benefits are equally outstanding.

The Relationship Manager serves as the primary contact for clients providing world-class client service, technical expertise and proactive risk management. Job Description Principal Responsibilities: - Provides proactive day-to-day client service by anticipating and evaluating client needs and responding to client questions and issues in person, via email or by telephone. - Reviews client exposures, underwriting memo, loss experience along with current coverages - Advises and counsels on complex risk exposures. - Review inspection reports accuracy on coverage potential loss prevention issues and provide proactive direction to resolve the claims. - Creates and presents private risk management renewal proposals& agendas to existing clients and conducts annual interactive reviews, when needed. - Understands, introduces and leverages the holistic platform, as needed, including employee benefits, commercial insurance and asset protection. - Cultivates strong relationships with insurance company partners, and is accountable for knowing insurer contracts, requirements and attributes. - Maintains a concern for accuracy, timeliness and completion when interacting with clients, the firm and insurance company partners to minimize potential for errors and omissions claims. - Serves as a market placement specialist by often remarketing existing programs to ensure we are keeping pace with clients needs. - Remain up to date on industry offering and make pro-active recommendations to clients. - Demonstrates strong organizational skills with high attention to detail. - Looks for opportunities to improve the firm, business segment and processes. Brings issues and discrepancies to the attention of appropriate leadership. Knowledge, Skills and Abilities: - Current Florida 2-20 License (or state equivalent), as required by the State Department of Insurance to provide risk management consulting or risk transfer solutions as necessary in states where the firm functions, or be willing and able to obtain all required licenses within their first 90 days of employment. - College degree preferred and professional designations a plus, e.g. CPCU, CIC, etc. - Provides 3+ years of experience in personal insurance including insurance company contracts and guidelines, proprietary insurer systems, and claim knowledge. Click here for some insight into our culture! The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are actively hiring and scheduling interviews this week for a fully remote Work From Home position. This is a legitimate opportunity with full training provided and guidance to obtain your Life & Health Insurance license. No prior experience required. We are looking for motivated U.S. residents ready to grow in a long-term remote career. - Communicate professionally with clients - Provide information and guidance - Follow a structured system - Maintain consistent performance Qualifications - Strong communication skills - Reliable internet connection - Self-motivated and coachable - Must be a U.S. resident - Willingness to obtain a Life & Health Insurance license (assistance provided) Benefits - 100% Remote - Full training program - Licensing guidance and support - Advancement opportunities - Supportive leadership team Company Description