Role Description We’re seeking a detail-oriented, results-driven Claims Resolution Specialist to support our billing and revenue cycle operations. In this role, you’ll manage assigned claims, follow up on denials, ensure accurate and timely payment, and support the financial health of our clinics through effective payer engagement. - Investigate and resolve claim denials and underpayments from insurance providers - Research payer-specific policies and submit accurate, timely appeals - Follow up on unpaid or delayed claims using payer portals and internal billing systems - Monitor aging reports and prioritize claims follow-up based on timely filing and payer deadlines - Perform insurance re-verification as needed and reprocess claims to appropriate payers - Accurately post payments and adjustments, including co-payments, deductibles, and coinsurance - Support billing operations, including charge entry, rejection resolution, and documentation reviews - Collaborate with internal teams to escalate payer issues and reduce future denials - Maintain meticulous records of follow-ups, appeal status, and payment resolutions in the EMR Qualifications - 4+ years of experience in medical billing, claims resolution, or insurance follow-up - 1+ years experience working remotely - Solid understanding of insurance guidelines, claim cycles, and payer behavior - Proficiency with CPT, ICD-10, and medical billing workflows - Comfortable using payer portals, EMR systems, and Excel/Google Sheets - Organized, self-motivated, and accountable with strong time management skills - Clear written and verbal communication when working with both payers and internal teams - High school diploma or equivalent required Requirements - Familiarity with Centricity EMR - Previous experience in surgical or specialty practice billing - Knowledge of revenue cycle metrics and KPIs Benefits - Medical, Dental, and Vision Insurance - 401(k) with Company Match - Paid Time Off (PTO) + Paid Company Holidays - Company-Paid Life Insurance - Short-Term Disability Insurance - Employee Assistance Program (EAP) - Career Growth & Development Opportunities Schedule Monday - Friday Compensation $20 — $25 USD

• Supports Revenue Cycle Operations, Coding Leadership, and other team members by reviewing electronic and written documentation. • Convert documentation into diagnostic and/or procedure codes for reimbursement. • Manage denials for third-party payers and oversee the denial process. • Identify opportunities for workflow improvements. • Communicate with clinical staff for accurate translation of medical record documentation using appropriate code selection. • Assist in performing quality data collection and monitoring/reporting to ensure proper reimbursement.

Role Description Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. - Works within established authority on moderate-to-difficult claims. - Reviews coverages, determines liability and compensability. - Secures information, arranges property damage appraisals and settles claims utilizing claims best practices. - Evaluates and sets reserves using independent judgment. - Assists supervisor and company attorneys in preparing cases for litigations. - Conducts training and mentors new hires. Benefits - Pay and incentive plans that recognize performance excellence. - Benefit programs that empower financial, physical, and mental wellness. - Training programs that promote continuous learning and career progression while enhancing job performance. - Sustainability programs that give back to the communities in which we live and work. - A culture of respect, collaboration, entrepreneurial spirit and inclusion. Company Description At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us. - We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. - Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. - When you accept a job with Crawford, you become a part of the One Crawford family.

Role Description Do you have a passion for excellence? Are you a natural problem solver who loves to deep dive and find the root cause of an issue? Are you someone who looks around corners anticipating the next steps to avoid delays and hurdles? If you answered yes to any of the above questions…we want you! Our Omni Channel Support Specialist team is Customer Obsessed and strives to provide a world class experience with each and every customer interaction. We interact with our customers through many channels, including email, telephone, text and chat and are looking for folks who understand how to make personal connections with our customers and help ensure their orders are processed properly, on time and with a smile! As part of our team, you will: - Research current systems and other related items to identify the cause - Issue credits/discounts and accurately enter information into order management system - Assist in managing daily claims workflow for decorated product issues, including misprints, order errors, product defects, shipment delays, and damaged goods - Answer incoming calls and inquiries from our customers, sales and account management to resolve customer questions and concerns - Research customer inquiries utilizing company resources and document customer conversations, information, questions, corrective action/answers, and product orders in the tracking application - Resolve roadblocks by researching and working with other departments - Act as a liaison between client and various departments - Assist in ensuring claims are processed within service-level standards - Participate in meeting team goals for service, quality and cost - Support company-wide initiatives such as continuous operational improvement - Mentor, advise and lead your team members in their journey to customer excellence - Handle customer escalations with creative problem-solving - Identify trends in customer concerns and escalate properly to leadership - Develop a deep knowledge of our product portfolio and a working knowledge of Operations business processes - Identify and drive process improvements or make recommendations that improve the overall customer experience - Support special projects, system enhancements and cross-department initiatives related to claims management - Other duties as required Qualifications - High School Diploma or Equivalent - 2 - 4 years customer service/support experience - Tech savvy with the ability to communicate using multiple channels; chat, text, email - Proficiency using Microsoft Office Suite, specifically Outlook, Word & Excel - Excellent communication, conflict resolution, and problem-solving skills - Willingness and ability to work remotely Requirements - Demonstrate the ability to think quickly and deliver results - Demonstrate active listening, critical thinking and problem-solving skills - Ability to move quickly through multiple systems to find information and deliver a response based on findings - Demonstrate empathy to customers, deescalate issues with care and compassion, and maintain a professional attitude at all times - Deliver all communications with kindness, verbal, email, chat and other - Be process oriented, understanding the value of standard work and consistency - Always act with Integrity and take personal ownership of all you do - Champion change and adapt quickly and positively in a dynamic workplace Benefits - People-first culture - Flexible schedules - Great shift differential (2nd shift: $1.25/hour / 3rd & Weekend shifts: $1.75/hour) - We will train for all positions! - Climate-controlled environment (clean and heat/air-conditioning) - Medical HSA and HRA plans - Flex spending accounts - PPO dental - VSP vision - Employee assistance program - Employer-paid life insurance - 401(k) with employer match - PTO - Paid Time Off (vacation, sick, personal) - Advancement opportunities - Tuition reimbursement - Employee referral bonus program - Employee recognition program - Employee charitable giveback program (up to $250 value)