Arthur J. Gallagher & Co., also known as Gallagher, is a Fortune 500 insurance company and a leading provider of risk management, insurance brokerage, and HR and benefits consultin
Return to Work Specialist
Location
Australia
Posted
8 days ago
Salary
0
Seniority
Senior
No structured requirement data.
Job Description
Return to Work Specialist
Arthur J. Gallagher & Co.
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Regulatory Change Specialist
IAG - Insurance Australia GroupIAG, or Insurance Australia Group, founded in 2000 and headquartered in Sydney, New South Wales, Australia, is the largest general insurance company in Australi
Title: Regulatory Change Specialist Locations: Melbourne, Victoria Perth, Western Australia Sydney, New South Wales Work Type: Hybrid Job ID: 49558 Job Description: At IAG, we're ready for you. We're the largest general insurance group in Australia and New Zealand. Our family of brands turns the IAG purpose of making your world a safer place into action by helping everyday Aussies and New Zealanders, supporting their ambitions and making insurance accessible. Help shape how regulatory change is understood and applied across our Intermediated Insurance Australia division. As a Regulatory Change Specialist, you'll play a key role in identifying emerging regulatory developments and translating them into clear, practical impacts for our intermediated insurance business. You'll work closely with business teams, risk, compliance and legal partners to support informed decision making and regulatory readiness. This role suits someone who enjoys connecting regulation to real world operations and understanding how changes impact brokers, products and customers. This is a permanent full-time role based in Naarm (Melbourne), Gadigal Country (Darling Park 2, Sydney) or Boorloo (Perth). What You'll Do - Monitor emerging regulatory and legislative developments relevant to intermediated and commercial insurance - Assess regulatory change impacts across broker distribution, products, claims processes and customer outcomes - Translate complex regulatory requirements into clear, practical guidance for business teams - Identify and escalate material regulatory risks and implementation considerations - Partner with business, risk, compliance and legal teams across Intermediated Insurance Australia to support regulatory readiness What You'll Bring - Experience assessing and interpreting regulatory change impacts within financial services or insurance environments - Strong understanding of how regulation affects an intermediated insurance model, including broker distribution, underwriting, claims and customer outcomes - Proven ability to translate legislative or regulatory requirements into clear, practical implications for business teams - Sound regulatory judgement, with confidence identifying material risk, impact and implementation considerations - Ability to engage credibly with senior stakeholders to explain regulatory impacts and support informed decision making What We Offer - Boosted superannuation with 13% as standard. - 20 days annual leave + 5 days MyLeave (extra leave for what's important to you). - Work from home and many more flexibility options with myFlex. - Up to 50% off personal insurance, including home and motor insurance. - Partner discounts on private health insurance, tech & appliances, and many more. - Industry-leading 20 weeks paid parental leave. - Access to LinkedIn Learning, the award-winning IAG Academy, study assistance and secondment opportunities. - employment type eligibility criteria apply More About Us As part of IAG you'll enjoy a world of career opportunities, a purpose-led place focused on creating connection and belonging, and where you can create meaningful impact every day and grow your career beyond the expected. That's not just words. It's our people promise. We're ready for you with unexpected opportunities for your career, your work-life and your ability to make a difference. We celebrate all viewpoints shaped by life experiences and culture, and are guided by the knowledge and voice of Aboriginal and Torres Strait Islander peoples, businesses, and communities. We collaborate on Indigenous-led solutions that enable growth and create meaningful change for our customers and employees.
Research Billing Coverage Analysis Coordinator
UNC Health CareUniversity of North Carolina Health Care, also known as UNC Health Care, is a nonprofit healthcare system based in Chapel Hill, North Carolina. It is owned by the state of North Ca
Title: Research Billing Coverage Analysis Coordinator Location: Chapel Hill United States Status: Full Time Shift: Day Job Job Description: Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Research Billing Coverage Analysis Coordinator will analyze protocol-driven clinical research services to ensure that both routine and research services are properly identified and billed in compliance with the Medicare Clinical Trial Policy, national and local laws and regulations, as well as institutional billing policies. The position will also meet with study teams to review the billing grid prior to study start up and collaborate with study teams to assess study readiness prior to activation. Under limited supervision, and with the latitude for initiative and independent judgment, performs, coordinates, and manages the creation and outsourcing of billing analysis in accordance with the Medicare Clinical Trial Policy, national and local laws, and regulations, as well as institutional billing policies. The BCA Analyst applies subject matter expertise to complex protocols. The documented analysis will serve as the basis for study budget creation and patient charge review once a research subject has completed corresponding visits at UNC Health facilities. The position will also meet with Principal Investigators/study teams to review the billing grid prior to study start up. These key research activities are a substantial part of the $1.3B UNC earns in Research activities across the University. This work impacts patients, faculty, staff, and all programs supported by these funds. Position is Monday - Friday Responsibilities: Clinical Research Protocol Review: Review research protocols, sponsor agreements, informed consent forms and related documents. Analyze Medicare benefit policies, national and local coverage determinations, and review medical treatment guidelines related to study specific interventions and routine care. Create coverage analyses in accordance with Medicare's Clinical Trial Policy (NCD 310.1) and assist research staff within the clinical departments with the interpretation of related guidance and their effect on research billing processes. Applies the appropriate Hospital and/or CPT codes for potentially billable items in the coverage analysis to assist in the management of claims review, as well as identifying items that are to be billed to the sponsor via the budgeting and contract teams. Consultation on Research Billing Designations: Collaborate with the trial Principal Investigators and study team members to review any procedures that are not clear from the study documents and/or those representing a difference of coverage opinion. Work closely with the research team to conduct a thorough feasibility assessment using tools available. Consultation on Study Budgets: Assist in the creation of study budgets. Ensure that all treatment costs for clinical studies are included in the study budget and are appropriate and/or accurate. Assist audit and compliance departments during reviews and monitoring of clinical research billing. Document Preparation & Finalization: Provide clear documentation of the analysis that includes coverage determinations and supporting citations for the compliant and accurate categorization of all items and services. Healthcare Liaison: Serve as a liaison with the UNC Health Integrated Billing Office, identifying best practices and overseeing resolution of complex research billing issues. Work to resolve any billing questions from UNC Health Billing Office in a timely matter if a patient's record is on a bill hold. Other duties as assigned by management to meet business needs. Other Information Education Requirements: ● Bachelor's degree or equivalent. Licensure/Certification Requirements: Professional Experience Requirements: ● With a Bachelor's degree, requires one (1) year of related experience. ● With an Associate's degree, requires five (5) years of related experience. Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Office of Clinical Research Operations Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $31.04 - $44.62 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: Yes This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job
Care Center Customer Service and Billing Specialist
Privia HealthA health management technology company, Privia Health is a national practice led by physicians. The company was founded in 2007 to provide physician groups with resources dedicated
Title: Care Center Customer Service & Billing Specialist Location: Remote United States Job Description: - Employees can work remotely - Full-time - Department: Customer/Member Experience Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description Must be available to work any 8 hour shift between the hours of 8am-6pm EST, remotely. The Sr. Care Center Support Billing Specialist supports our growing physician network. This person will assist customers with all questions around billing/claims resolution,via current email technology platforms and incoming calls. The role operates within a customer service oriented high-volume call center environment. Primary Job Duties - Responding to high volume inquiries via email/phone - Assist with triaging case volumes - Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance - Critically analyze a situation and escalate issues to the appropriate internal team; meticulously following up to ensure that the customer is served in a timely fashion - Identify issues that occur on a repeated basis and provide feedback to management - Act as a subject matter expert for all current and updated resources, ensuring to communicate updates to fellow team members and ensuring understanding - Provide support in team chat with questions from team members - Remain flexible to take on other duties as assigned Qualifications - High School Diploma preferred, advance certification a plus - Familiar with healthcare billing and claim resolution preferred - Experience with AthenaNet, Salesforce a plus - 2+ years of full time experience in a call center customer service environment - Familiarity using software such as Salesforce, Word, Excel, Web Browsers and cloud-based web applications - Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely The hourly range for this role is $21/hr to $23/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.
Veterans Billed Specialist - Veterans Evaluation Services
MaximusMaximus, founded in 1975 and formerly known as Policy Studies, is a leading American provider of health and human service programs. As an employer, Maximus has hired for part-time
Title: Veterans Billed Specialist (Remote) - Veterans Evaluation Services Location: United States Job Description: Working time Full-time Description & Requirements Maximus is currently hiring a Veterans Billed Specialist to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Veterans Billed Specialist is responsible for resolving billing issues related to diagnostic testing by ensuring facilities bill VES directly rather than the Veteran. When billing concerns arise and are routed through our call center, this role conducts outbound outreach to medical facilities to clarify billing requirements, coordinate reassignment of invoices to VES, and verify accounts are updated and closed appropriately. The specialist maintains a daily log of follow-ups, prioritizes cases based on urgency, and provides Veterans with confirmation of resolution, including zero-balance letters when applicable, delivering accurate, timely support throughout the process. Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity. Essential Duties and Responsibilities: - Update facility billing information. - Request claims and processing payment. - Ensure VES payments have been posted. - Confirm zero balances on patients’ accounts. - Mail zero balance letters to veterans and/or request a zero balance letter be mailed to the veteran from the facility. - Process payments to facilities according to Contracted rates. - Answer internal and external calls pertaining to claim status and billed veteran issues. - Maintain communication with facilities in regards to obtaining outstanding or current claims. Minimum Requirements - High School Diploma or GED required.- One to two years related experience in insurance or medical billing. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations Minimum Salary $ 18.00 Maximum Salary $ 24.64



