Role Description The insurance department is seeking a Phone Representative to support our call team. The ideal candidate will be experienced in handling both inbound and outbound healthcare insurance-related calls. Training for this role may be conducted in-office but may transition to a remote work arrangement after successful completion of performance metrics. - Fielding inbound calls from insurance companies or employers - Making outbound calls to insurance companies or employers - Gathering information, screening and documentation of accounts - Following up for payment information - Making decisions independently Qualifications - Self-motivated, results oriented with strong communication and problem-solving skills - Experience with Microsoft Office - Excellent phone and email etiquette, professional customer service skills with complete and accurate documentation of phone calls - Medical terminology is a plus, but not required - Previous experience in a recovery environment with proven quality statistics - Must have no disciplinary counseling in the past 6 months and no attendance issues. (For Internal Applicants)

Role Description Join Platinum Choice Healthcare as a Licensed Health Insurance Agent and take your career to the next level. We offer remote and in-office positions with comprehensive training and competitive compensation plans designed to reward your hard work and dedication. - Engage with clients to provide tailored health insurance solutions, focusing on hospital indemnity, cancer coverage, dental, home health care, and caregiver coverage. - Utilize live inbound leads to conduct needs analysis and guide clients through the application process. - Ensure compliance with industry regulations and company policies. - Maintain accurate records and use CRM tools to manage client interactions and sales activities. - Work collaboratively with team members and participate in ongoing training and coaching sessions. Qualifications - Active insurance license (2-40, 2-15, or equivalent in resident state). - Experience in health insurance sales preferred, especially with hospital indemnity and ancillary products. - Strong phone sales skills and ability to handle inbound leads professionally. - Knowledge of compliance and regulatory requirements. - Self-motivated, coachable, and committed to achieving sales targets. - Medicare sales experience is a plus but not required. - Ability to work remotely or in-office as required. Requirements - Work from home. - Make your own schedule. - You control how much you make a week. Benefits - Competitive hourly base pay and performance-based commissions. - Monthly bonus opportunities and uncapped earning potential. - Opportunity to earn $90K+ within the first year. - Be a part of a supportive and energetic team focused on delivering exceptional insurance products to clients while growing your income.

• Protects the financial standing of Optim Health by performing functions related to the billing, coding verification, collection, payment, and customer service for all payer and patient accounts. • Under general supervision, is responsible for processing insurance and billing insurance in a timely manner. • Reviews assigned electronic claims and submission reports. • Resolves and resubmits rejected claims appropriately as necessary. • Works closely with Medical Records, Coding, Revenue Integrity, Patient Access, and Patient Financial Services departments to resolve outstanding claim errors by obtaining necessary information for accurate billing. • Processes daily error logs, stalled reports, aging claims, and any ah-hoc reports. • Addresses claim issues from insurance companies requesting additional information and/or checking status of billings. • Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. • Initiates next billing, assign appropriate follow-up and/or collection step(s), this is not limited to calling patients, insurers or employers, as appropriate. • Sends initial or secondary bills to Insurance payers. • Documents billing, follow-up and/or assign collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to Supervisor/Manager if necessary. • Processes administrative and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager.

• Planning and leading client meetings, walk-through reviews of clients control procedures and processes; delivery and presentation of client deliverables • Developing and leading the performance of, testing of clients’ security, privacy and other information risk management related controls • Directing the execution of testing of clients’ internal controls, testing of clients’ internal controls and review of internal control testing executed by other team members • Supporting clients in problem identification and resolution • Performing assessments and testing against leading information security and privacy standards and frameworks, including ISO 27001, Trust Services Criteria, PCI DSS, NIST CSF, GDPR, HITRUST and others • Leading and supporting preparation of client reporting deliverables; e.g., gap and risk assessments, SOC reporting, GDPR assessments, ISO 27001 certifications, etc.