• Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits. • Assist with managing the work load to ensure that referrals and orders are handled in a timely manner • Monitor each queue through various reports and redistribute work as appropriate • Serve as the point of contact for key physicians’ offices and coordinate referrals with the sales team during insurance verification process • Serve as the point of contact or designated rep for contracted payors • Serve as the point of contact or designated rep for special pharma accounts working with their HUB’s and collecting and documenting pharma •specific data in the system • Obtain and verify insurance eligibility for services provided and document complete information in system • Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies • Collect any clinical information such as lab values, diagnosis codes, etc. • Determine patient’s financial responsibilities as stated by insurance • Configure coordination of benefits information on every referral • Ensure assignment of benefits are obtained and on file for Medicare claims • Bill insurance companies for therapies provided • Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures • Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs • Handle inbound calls from patients, physician offices, and/or insurance companies • Performs other duties as assigned • Complies with all policies and standards

• Help families build wealth and educate clients on Infinite Banking • Participate in mentorship program to become Infinite Banking Specialist • Collaborate with team in cash flow banking and generational wealth planning • Implement advanced strategies like IULs and tax-free retirement

Title: Home Health Insurance Authorization Specialist Location: Remote Nationwide Job Description: Become a part of our caring community This is a full time remote position scheduled 40 hours a week for 8 hour shifts, 5 days a week. The schedule you will work is Monday-Friday from 9am-5:30pm EST. As a Home Healthcare Insurance Authorization Specialist, you will report directly to the Authorization Supervisor. You will: - Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met. - Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition. - Weekly generation of site revenue and resolution of batch errors and bill holds. - Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue. - Prepare and submit invoices to Accounts Payable for reimbursement and perform follow up to ensure accurate, timely payments are made to our facility partners. - Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines. - Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing. - Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements. - Ensure all payer requirements are met, including pre-cert requirements, notification requirements, and level of care change required documents. - Alerts appropriate team members at the Site regarding late or missing documents required for billing. - Establish and maintain positive working relationships with Sites, Nursing Home Facilities, and AR Teams. - Maintain the confidentiality of patient/client and agency information. - Maintain accurate and up to date information for all vendor and nursing facility contracts. - Keep information in an orderly manner accessible for review. Present status as requested. - Assure compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures. - Participate in special projects and perform other responsibilities as assigned. - Help train newly-hired associates, as well as re-education of revenue teams. - Information resource for any hard revenue generation issues or system issues. Basically the subject matter expert. - Assure the completion and coordination of work in an associate's absence, or as needed to maintain departmental standards. Use your skills to make an impact Required Experience/Skills: - Proficient in using computers and Microsoft Office applications, including Word, Excel, and Outlook. - One or more years of insurance authorization and/or training experience preferred. - Two or more years of home healthcare or medical office experience preferred. - Knowledge of insurance reimbursement process preferred. - Two years college preferred. Additional Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. - Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $43,000 - $56,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Role Description Mercier Consultancy MD is looking for dedicated Polish-Speaking Customer Experts to join our team supporting a leading insurance company in Greece. In this role, you will provide exceptional service to Polish-speaking clients, helping them navigate insurance products, claims, and policy inquiries with professionalism and care. Key Responsibilities - Provide professional customer support to Polish-speaking clients via phone, email, and chat regarding insurance products, claims, and policy details. - Assist customers in understanding coverage, processing claims, and resolving issues promptly and accurately. - Maintain detailed and up-to-date records of customer interactions within the CRM system. - Collaborate with internal teams to ensure efficient handling of customer requests and complex cases. - Stay informed about insurance products, company policies, and regulatory requirements. - Provide feedback to improve customer service procedures and client satisfaction. Qualifications - Fluency in Polish (spoken and written) is mandatory; proficiency in English is advantageous. - Previous experience in customer service, preferably in the insurance or financial services sector. - Strong communication and interpersonal skills with a customer-oriented mindset. - Ability to manage multiple tasks in a fast-paced environment with attention to detail. - Familiarity with CRM systems and digital support tools. - Willingness to relocate and work in Greece. - Strong problem-solving skills and ability to handle sensitive information confidentially. Benefits - Competitive Monthly Salary - Fully Paid Training - Fully Paid Relocation Package - Monthly Performance Bonus - Health Insurance - 2 Extra Salaries Per Year - And Much More...