• Claims Submission: Prepare, review, and submit claims for diagnostic lab services to commercial and government payers, ensuring compliance with payer guidelines and laboratory policies. • Denial Management: Analyze denied claims, identify root causes, and initiate corrective actions including appeals and resubmissions. • Follow-Up: Proactively follow up on outstanding claims, monitor aging reports, and communicate with payers to resolve issues and expedite payment. • Documentation: Maintain accurate records of claim status, correspondence, and payer responses in the billing system. • Collaboration: Work closely with prior authorization, billing, and reimbursement teams to resolve complex claims and support cross-functional RCM initiatives. • Compliance: Stay current with payer requirements, coding updates (CPT, ICD-10), and regulatory changes affecting laboratory claims. • Reporting: Generate and analyze claims performance reports to identify trends, opportunities for process improvement, and support management decision-making.

Title: Bodily Injury Claims Adjuster, Rideshare Location: Remote (United States) Department: Transportation Job Description: About the role We are seeking highly organized and customer-focused Rideshare Bodily Injury Adjuster to join our team. In this role, you will manage bodily injury claims arising from incidents involving vehicles operating on rideshare platforms. You’ll serve as the main point of contact for injured parties, policyholders, attorneys, medical providers, and other stakeholders—working to deliver timely, fair, and compliant claim resolutions. You’ll assess liability, evaluate medical treatment and injury severity, review documentation, and negotiate settlements across a variety of bodily injury exposures. These claims often involve layered insurance structures specific to rideshare operations. Strong communication, attention to detail, and negotiation skills are key. You will also work closely with our internal product and engineering teams to share insights that drive process improvements and technology enhancements across the claims journey. What you'll do - Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests - Manage an inventory of litigated and non-litigated cases - Analyze and review auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers - Ensure compliance with specific state regulations, policy provisions, and standard operating procedures - Manage both non-litigation and litigation cases related to auto claims disputes, communicate with involved parties, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders - Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry - Review legal documents and ensuring compliance with initial suit-handling plan of action - Serve as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed - Analyze policy language and reaching appropriate coverage decisions, drafting coverage correspondence, and proactively managing non-litigated and litigated claim files from inception to closure - Direct and control the activities and costs of outside vendors including defense counsel and coverage counsel, experts and independent adjusters - Maintain adjuster licenses and continuing education requirements Qualifications - Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications) - Experience with Ride Share (or TNC/Livery) is required. - Minimum of 3 years of experience on point and concentrated in rideshare claims adjusting, ideally with: - - commercial auto exposures - Both attorney-represented and unrepresented claims - Third-party bodily injury, including catastrophic losses - UM/UIM bodily injury - Litigation experience - PIP a plus, but not required - Knowledge of state regulations, policy provisions, and standard operating procedures. - Willingness to travel for clients and claims need - Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license and be willing to obtain all licenses within 60 days, including completing state-required testing. Benefits - Generous health-insurance package with nationwide coverage, vision, & dental - 401(k) retirement plan with employer matching - Competitive PTO policy – we want our employees fresh, healthy, happy, and energized! - Generous family leave policy after 8 months of continuous work - Work from anywhere to facilitate your work life balance - Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! Additionally, we will - Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role - Work toward reducing and eliminating all the administrative work from an adjuster role - Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you.

• Manage complex vendor relationships and monitor performance • Provide coaching and mentoring to staff • Oversee specialized claims and documentation • Participate in performance reviews • Conduct file examinations and calibration with vendors

Role Description Primarily responsible for effective billing and collections for all ENT Specialty Partners offices. Is able to resolve claim issues by utilizing knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws. Responsibilities - This position is responsible for all AR follow up including denials, reconsiderations, and appeals. - Accurate data entry of information into the computer system. - Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families. - Follow appropriate HIPAA guidelines to provide medical records to primary care provider, insurance carriers, referred providers, and patients per patient request. - Work well individually and in a team environment accomplishing set goals. - Timely and accurate filing and billing of all patient transactions (billing, invoices, and insurance claims, etc.). - Monitor claim status, contact and follow up with insurance carriers on denials. - Answer/respond to correspondence related to patient accounts. - Posting of charges, payments, adjustments, and related activities in EHR. Coordinates with providers, when necessary, on incomplete information to assure proper account and claim adjudication. - Answer phones, take messages, and return calls. - Ability to maintain confidentiality. - Performs other related duties as assigned. Qualifications - High School Diploma or equivalent. - Minimum 3 years recent experience in medical billing and collections. - Remote work experience. - Experience using eClinicalWorks (eCW) billing system preferred. - Understanding of medical claims and coding. - Medical billing and collections in a physician office setting preferred. - Basic math skills and accurately process money transactions (must be able to read & understand an EOB). - Experience with office equipment: multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, and so on. - Must be proficient using the computer, data entry, and have above average typing skills. - Experience with MS Office, EMR/EPM systems. - Prior experience with ENT specialty a plus.