Role Description The Mom and Baby division specializes in providing maternity related medical equipment billed through insurance. This position will be responsible for resolving claims that have been rejected by insurance and will assist with developing improvements to our collections processes. - Resolve incoming rejections for the Mom & Baby division - Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause - Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.) - Maintain detailed records of all rejection cases, resolutions, and follow-up actions - Verify eligibility, coverage, and authorization when needed to prevent future denials - Assist with other projects for claims that have been denied or rejected - Collaborate with our billing team and leadership - Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies - Compliance is a condition of employment and is considered an element of job performance - Maintain HIPAA/patient confidentiality - Regular and reliable attendance as assigned by your schedule - Other job duties assigned Qualifications - High school diploma or GED - Ability to understand difference between HCPCS, CPT, and ICD-10 codes - Familiarity with payer portals, EDI systems, and clearinghouses - Ability to multi-task - Exposure to Google suite, Microsoft platforms Requirements - Relentless Curiosity: Proactively seeks out opportunities for process improvements - Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks - Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement - Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback - Strategic: Makes decisions and takes actions with a broader organizational impact - Transformative: Constantly seeks ways to improve and actively pursues growth opportunities - Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team - Commitment to People Development: Shows passion for developing talent through regular training and mentoring - Relationship Focused: Proactively builds relationships across the organization Benefits - Competitive Pay - Health Plans with FSA or HSA options - Dental and Vision Insurance - Optional Life Insurance - 401K with Company Match - 12 weeks of parental leave for birthing parent/4 weeks leave for non-birthing parent(s) - Additional Parental benefits to include fertility stipends, free diapers, breast pump - Paid Holidays - PTO Accrual from day one - Employee Assistance Programs - SO MUCH MORE!!

Role Description Unifyr is looking for an individual to join our Partner Support team, someone who is passionate about customer service. Support specialists are responsible for triaging, troubleshooting, and resolving support requests from customers and partners. Unifyr believes customer support differentiates us from our competition, and we are looking for a full-time support specialist who is focused on delighting our customers with outstanding support. Role Responsibilities: - Deliver excellent customer support and manage support requests from initial logging through to closure within published SLAs (Service Level Agreement’s). - Obtain broad knowledge of all products and existing customer customizations. - Triage inbound support requests and communicate with customers and partners. - Analyse technical issues and provide training, resolution, and/or escalation to Level 2 as appropriate. - Collaborate with other team members to create and update both customer-facing and internal documentation. - Create and modify business processes relating to customer support. - Act as customer advocate within Unifyr to ensure that Unifyr always achieves excellent customer satisfaction ratings. Qualifications - 3+ years’ experience in the software industry or related field. - Tech-savvy with a familiarity with web-based enterprise software. - Dedicated to exceptional customer service with a passion for customer satisfaction. - Excellent written and spoken communication skills. - Ability to clearly, accurately and logically describe complex processes. - Ability to multi-task, manage time effectively, and exhibit a sense of urgency. - Tenacious problem solver with the strong desire to know how things work. - Ability to interpret and apply information from multiple sources to solve a problem. - Attention to detail, strong sense of ownership, and deadline focused. - Enthusiastic about working in a team and motivated by contributing to the team’s success. - Ability and desire to collaborate with other teams to optimize documentation. - Proficient with Google workspace preferred. - Must be legally authorized to work in country of employment. Preferred Qualifications - BS/BA in Information Technology or related field, or equivalent experience in the software industry. - Familiarity with Salesforce and/or MS Dynamics, preferred. - Knowledge of HTML5, CSS3, jQuery, preferred. - Experience in the following code is preferred: Java web services for new backend implementations, Frontend: JavaScript, HTML, CSS, Bootstrap, and MS SQL Server – as the database.

Role Description The Sr. Specialist, FIU is responsible for managing an ongoing fraud queue to detect and prevent fraudulent transactions, reviewing suspicious accounts using internal and external fraud tools, and taking action in accordance with policies and procedures. They research and analyze data to detect fraudulent activities, track and monitor high-volume fraud trends, and escalate issues to leadership. Through case reviews, they analyze fraud trends, provide recommendations for process improvements, and gather evidence for investigations. The role also involves interacting with members over the phone, performing Enhanced Due Diligence (EDD) reviews, monitoring high-risk members for AML risks, preparing Currency Transaction Reports (CTR), and other related tasks as needed. Responsibilities - Manage an ongoing fraud queue to detect and prevent fraudulent transactions. - Review suspicious accounts using internal and external fraud tools, and take action in accordance with policies and procedures. - Research and analyze data to detect fraudulent activity such as potentially false information, identity theft, and potential collusion with company employees in originating fraudulent loans. - Track and monitor high-volume fraud trends and escalate to leadership. - Analyze fraud trends through case reviews and provide recommendations for process improvements or procedures related to fraud mitigation strategies. - Gather and analyze evidence, including transaction records, communication logs, and other relevant information. - Interact over the phone with members to assist with fraud-related challenges or investigations as needed (inbound calls). - Conduct outbound calls to contact applicants as required by processes (FACTA calls). - Perform timely Enhanced Due Diligence (EDD) reviews in accordance with established procedures. - Continuously monitor high-risk members to identify, assess, and mitigate potential AML risks, including suspicious activity investigations, currency transaction reporting, and global sanctions screening. - Prepare Currency Transaction Reports (CTR). - Additional responsibilities as requested. Requirements - 3+ years of professional experience, including 1+ years conducting fraud operations and/or AML, KYC document reviews. - Bilingual English/Spanish (Written and Oral) is highly preferred. - Knowledge of KYC/AML, fraud and risk management strategies and principles. - Ability to analyze, summarize, and communicate findings and issues drawn from facts. - Knowledge of, and experience utilizing fraud investigative techniques and practices. - A keen eye for detail and self-driven; a high degree of independence is necessary to succeed. - Problem-solving and analytical skills required. - Exceptional interpersonal skills. - Demonstrate a strong work ethic and professional integrity. - Excellent oral and written communication skills. - Excellent organizational skills. - Ability to execute with a sense of urgency. - Ability to resolve complex issues. - Experience in answering customer inquiries and providing a positive exceptional customer experience. - Strong knowledge of desktop computer applications, such as Microsoft Word, PowerPoint, and Excel. Company Description Oportun (Nasdaq: OPRT) is a mission-driven financial services company that puts its members' financial goals within reach. With intelligent borrowing, savings, and budgeting capabilities, Oportun empowers members with the confidence to build a better financial future. Since inception, Oportun has provided more than $21.3 billion in responsible and affordable credit, saved its members more than $2.5 billion in interest and fees, and helped its members set aside an average of more than $1,800 annually.

Title: Billing Specialist Location: IA-Ankeny Type: Full-Time, Hybrid Job Description: Position Summary The Billing Specialist is responsible for performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department.We’re looking for someone with a strong internal drive to solve problems, drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and benefits available after 30 days of employment. Following training, this will be a hybrid position offering the opportunity to work 3 days in the office and 2 days remotely each week. Position Responsibilities may include, but not limited to - Create billing reports of assigned agencies - Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies - Reconciliation of assigned state or local agencies - Research and resubmit of billings to assigned agencies - Review quality assurance of all referrals or updated clients from assigned state or local agencies - Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings - Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives - Reduce payment agency backlog - Perform in-depth audits of project data to identify and resolve billing discrepancies - Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics - Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint - Manage complex billing scenarios including denials, rejections, and aging accounts - Collaborate with Posting teams to resolve discrepancies and support month-end close - Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.) - Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans - Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO’s,Medicare Advantage, and Older Americans Act programs - Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards - Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging - Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs