This is a 100% remote opportunity; however, please only apply if you have 3 to 5 years of medical insurance collection experience. AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care 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 and resolving billing-related issues with insurance companies or other responsible party for services rendered. The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities. AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer match. Additionally, we offer a 100% work from home model. EDUCATION AND EXPERIENCE: - 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. ESSENTIAL DUTIES AND RESPONSIBILITIES: - 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. QUALIFICATION REQUIREMENTS: - Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations. - Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders. - Strong work ethic with personal qualities of integrity and credibility. - Self-directed, detail oriented, conscientious, organized, and able to follow through. - Ability to deal in an organized manner with problems involving multiple variables within the scope of the position. - Tolerant of frequent interruptions and distractions from staff and other internal support teams. - Proficient in Microsoft Office, including Outlook, Word, and Excel. 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 AIS HealthCare™is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes. We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.

This position is Remote in the states of Washington OR Oregon. You will have the flexibility to work remotely* as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Pre-authorization Specialist implements, maintains and executes procedures and processes by which Optum performs its referral and authorization process. This position responds to inquiries from patients, staff and physicians pertaining to referral authorization questions. The position also researches medical history and diagnostic tests when requested, to assist in review, processing, and coordination of prospective, concurrent and retrospective referrals. This position is full-time, Monday - Friday. Employees are required to work during our normal business hours of 7:00am - 4:30pm Monday - Thursday and 8:00am - 12:00pm Friday PST. It may be necessary, given the business need, to work occasional overtime. We offer on-the-job training. The hours of the training will be aligned with your schedule Primary Responsibilities: Initiate Referral Authorizations: - Acquires and maintains a working knowledge of Optum contracted health plans agreements and related insurance products - Provides administrative and enrollment support for team to meet Company goals - Gathers information from relevant sources for processing referrals and authorization requests - Submits authorization & referral requests to health plan via avenue of insurance requirement. Including but not limited to website, phone, & fax - Track authorization status inquires for timely response - Maintains strong understanding of and educate our physicians, clinical teammates, patients and families regarding contracted health plans requirements related to Referrals/Pre-authorization Management - Acts as a liaison between providers, teammates, outside vendors, health plans, community services and patients to support Referrals/Pre-authorization management process and requirements - Reviews benefit language and medical records to assist in completion of requested services, to meet health plan requirements - Documents patient information in the electronic health record following standard work guidelines - Coordinates with Clinical teammates and health plans to identify patients with Referrals/Pre-authorization Management needs - Provides member services to all patient group - Answers referral and authorization inquiries from health plans, our clinical areas, patients and outside Optum Physician office/facilities - Assists in the development and implementation of job specific policy and procedures - Assists in the collection of information for member and/or provider appeals of denied requests - Identifies areas for potential improvement of patient satisfaction Review Denied Claims (No Authorization/No Referral): - Researches root causes of missing authorization/referral - Processes no authorization, no referral denied claims based on Insurance plans billing guidelines - Obtains retro authorizations, appeals denied claims, or writes off charges based on Optum charge write-off guidelines - Provides feedback and follow up to clinical areas and appropriate parties - Assists in the development and implementation of job specific policies and procedures to reduce no authorization no referral denied claims to increase revenue - Initiates improvement in authorization timeliness, accuracy and reimbursement Utilization Management Medical Review: - Processes Insurance plan referrals in EPIC - Utilizes Prior Authorization list, MCG, NCCN, and individual insurance plan medical guidelines/policies to determine administrative review, what is needed for clinical review, and manages the work flows accurately - Reviews clinical records to match insurance medical guidelines/policies, acquires additional records if necessary - Discuss medical guidelines with insurance plan to reduce referral/prior authorization denial rate, expedite referral authorization process, and to keep peer to peer opportunities to minimal - Document accurately and timely in medical record - Processes referrals in timely manner to improve patient’s satisfaction - Other duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School Diploma / GED OR equivalent years of work experience - Must be 18 years of age OR older - 1+ years of experience in healthcare, including understanding of health plan related operations - Experience in Referrals/Pre-authorization Management/Claims billing - Experience with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications - Experience with Microsoft Outlook, Microsoft Word & Microsoft Teams - Experience with EHR/EMR systems (i.e.Epic) - Willingness and ability to travel annually for an on-site meeting at the Everett, WA office. - Ability to work full time. Employees are required to work during our normal business hours of 7:00am - 4:30pm Monday - Thursday and 8:00am - 12:00pm Friday PST. It may be necessary, given the business need, to work occasional overtime Preferred Qualifications: - 1+ years of experience in Referrals/Pre-authorization Management - 1+ years in appeal writing and processing - 1+ years working knowledge of EOB, COB, Remits, and CMS 1500 - Knowledge of organizational policies, procedures, & systems - Working knowledge of CPT & Diagnosis Coding, Medical Terminology, and basic Anatomy Telecommuting Requirements: - Reside within the states of Washington OR Oregon - Ability to keep all company sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job Description: Healthcare Agent Licensed Trainee – Pet Insurance (Remote) Pay Rate: $21.00/hour Location: Remote (Must reside in one of the following states: Arizona, Florida, Kentucky, or Texas) Do you have a passion for helping animals and hold an active Property & Casualty Insurance license? Join Chewy Insurance Services and help pet parents protect their beloved companions through comprehensive pet insurance coverage and exceptional customer service. We are seeking dynamic and motivated individuals to join our team as Healthcare Agent Licensed Trainee. In this role, you will educate pet parents, guide them through enrollment, and ensure they select the coverage options that best meet their needs. Why Join Chewy Insurance Services - Competitive pay and benefits - Opportunity to make a meaningful impact for pet families - Career growth within a rapidly expanding sector - Supportive and collaborative team culture Key Responsibilities - Respond to inbound warm leads from pet parents interested in pet insurance policies - Use a consultative approach to assess customer needs and recommend appropriate coverage - Educate customers on policy details, coverage options, and benefits - Confidently and empathetically address objections to build trust - Guide customers through the enrollment process and ensure accurate documentation - Meet or exceed enrollment targets while maintaining regulatory compliance - Utilize internal systems to provide a seamless customer experience - Collaborate with insurance partners and maintain knowledge of Chewy’s pet insurance offerings - Handle healthcare and customer service inquiries via phone, email, and chat as needed Qualifications - Active Property & Casualty Insurance license in your home state (required) - Ability to obtain and maintain non-resident licensure in all 50 U.S. states - Ability to pass a background check, additional insurance screenings, and fingerprinting as required - 2+ years of insurance sales experience preferred - 2+ years of customer service experience - Strong consultative selling and objection-handling skills - Excellent communication skills - Familiarity with pet insurance or the broader insurance industry is a plus - Comfortable using multiple systems for data entry and customer interaction - Flexibility to work shifts, including evenings, weekends, and potential overtime Training - Three weeks of virtual training - Monday through Friday - 9:00 AM – 5:30 PM ET Technical Requirements (Remote Work) - Reliable wired internet connection (minimum 30 Mbps download / 10 Mbps upload) - Dedicated, distraction-free workspace - Cell phone or tablet for two-factor authentication - Ability to receive SMS messages and phone calls - Compliance with insurance licensing location requirements Important: Applicants must provide complete and transparent information regarding any criminal background history on their pre-employment application, including misdemeanors, felonies, and dropped charges. If you are a licensed insurance professional who is passionate about helping pet parents and interested in building a meaningful career in pet health protection, we encourage you to apply. Chewy is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, ancestry, national origin, gender, citizenship, marital status, religion, age, disability, gender identity, results of genetic testing, veteran status, as well as any other legally-protected characteristic. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, or if you need a religious accommodation, please contact CAAR@chewy.com. To access Chewy's California CPRA Job Applicant Privacy Policy, please click here.

• Review and validate Workers’ Compensation and General Liability audits for accuracy, compliance, and consistency. • Achieve individual productivity targets based on audit volume and timeliness • Identify auditor trends or recurring issues and share insights to inform training adjustments • Maintain accountability for accurate and timely audit reviews • Apply manual rules and state-specific standards (e.g., WCIRB, PAAS) using internal systems such as Nexus and the resource library • Provide constructive feedback and mentoring to auditors to reduce repeat errors and support professional growth • Manage assigned audit queues, meet production goals, and complete urgent or overflow reviews as needed • Collaborate with Field Support, QA, and leadership teams to identify training opportunities and support continuous process improvement • Promote teamwork, professionalism, and a positive, solution-oriented culture