Role Description This job is responsible for reviewing and processing basic insurance claim edits in a timely manner under direct supervision of supervisor. - Shift - 8-hour, flex shift Monday through Friday - Work From Home: Although this is a WFH position, the applicant must live in the Greater DFW area. Our teams’ culture is Love Based, which thrives on mutual respect, empathy, and support, fostering an environment where every member feels valued and empowered. It prioritizes open communication, collaboration, and understanding, creating a cohesive and inclusive community where individuals can flourish personally and professionally. Love Based cultivates a culture where kindness, compassion, and appreciation are foundational principles, leading to greater creativity, productivity, and fulfillment for all team members. Job Expectations - Work both independently and collaboratively within a team to achieve production goals and deadlines. - Demonstrate a strong commitment to productivity by staying focused and on task without constant supervision. - Effectively communicate with colleagues, supervisors, and managers to ensure clarity, alignment, and successful outcomes. - Take ownership of assigned tasks and projects, demonstrating accountability and reliability in meeting expectations. - Adapt to changing priorities and work demands while maintaining a high level of quality and efficiency. - Proactively identify opportunities for process improvement and contribute innovative solutions to enhance overall productivity and teamwork. Hard Skills - Epic experience - Knowledge and experience with registration - Knowledge and experience with health insurance carriers - Ability to read and understand Explanation of Benefits - Ability to multitask - Contacting insurance companies and patients Soft Skills - Outlook experience - Team experience - Excel experience - Medical Terminology Benefits - PPO medical plan, available day one at no cost for full-time employee-only coverage - 100% coverage for preventive healthcare - no copay - Paid Time Off, available day one - Retirement Programs through the Teacher Retirement System of Texas (TRS) - Paid Parental Leave Benefit - Wellness programs - Tuition Reimbursement - Public Service Loan Forgiveness (PSLF) Qualified Employer Qualifications - High School Diploma or equivalent - 2 years of experience with medical billing or claims processing, knowledge of billing and/or collections rules and regulations - May consider education in lieu of experience. Job Duties - Reviews and processes basic insurance claim edits through the billing system for registration and demographic accuracy. - Utilizes vendor and third party websites for eligibility and benefit verification, including update of registration information within the billing system. - Reposts and resubmits claims based on research findings and billing system updates. - Works in all professional billing service areas. - Updates registration and demographic information in at least two hospital billing service areas. - Escalates issues above knowledge base to higher level specialist or supervisor. - Duties performed may include one or more of the following core functions: - (a) Directly interacting with or caring for patients; - (b) Directly interacting with or caring for human-subjects research participants; - (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); - (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records. - Performs other duties as assigned. Security and EEO Statement This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

• Manages an active desk of general liability bodily injury claims under business owner policies • Analyzes coverage issues under the Business owners coverage form, garagekeepers, hired non-owned auto, auto services and other standard industry forms • Analyzes, investigates, and evaluates new loss notices and claim tenders • Expeditiously analyzes and positions claim under applicable coverage • Collaborates on setting reserves at appropriate level for claims • Uses good judgment in managing ALAE in claims investigation • Appropriately documents claim files in accordance with established guidelines • Obtains and maintains adjuster licenses, as required

• The Property Claims Representative will be responsible for handling a desk of first-party commercial property claims. • Conduct investigations as they adjust 1st party property claims. • Investigating losses to determine coverage and the extent of indemnity owed under the policy. • Retaining and managing outside vendors and experts as part of a quality claims investigation. • Obtaining and reviewing evidence, reports, and records. • Establishing appropriate reserves, as warranted throughout the claims investigation. • Processing expense and indemnity payments, as appropriate. • Maintaining an organized and efficient workflow, including keeping an active diary on each open claim file. • Providing superb customer service in a fast-paced environment. • Drafting detailed correspondence, including coverage position letters and reservation of rights letters.

Role Description Join Cartwheel to help tackle the student mental health crisis. Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them, we collaborate with them. This means: - Earlier intervention - Higher student and family engagement in care - Better coordination among the trusted adults in a student’s life Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team. Since our founding in 2022, we have grown to serve more than fifty school districts across six states, providing care to thousands of students and families. Cartwheel processes a high and growing volume of behavioral health claims across three revenue streams — school district partners, health plans, and members. Without dedicated support, denial and rejection recovery opportunities go unworked and result in preventable revenue loss. This role exists to close that gap. As our Senior Revenue Cycle Specialist, you'll own the workflows that directly protect Cartwheel's bottom line: - Investigating and resolving denials and rejections - Submitting corrected claims and appeals - Managing aging AR - Keeping payer follow-up moving as claim volume grows You'll also serve as the internal expert on billing compliance and payer requirements across all three revenue streams. This role is right for a senior behavioral health billing professional who sees a significant denial and rejection backlog as an opportunity — someone who digs into root causes, builds the systems to prevent recurrence, and wants to scale an RCM operation, not just maintain one. Qualifications - 3+ years of experience as a Billing Specialist, Accounts Receivable Specialist, Payment Coordinator, Revenue Cycle Specialist, or similar role required. - 1+ years of behavioral health billing experience. - Deep expertise in denials management, appeals, corrected claims, and AR follow-up. - Strong working knowledge of healthcare billing regulations, payer requirements, and compliance standards. - Proven ability to independently identify billing issues, investigate root causes, and implement fixes — not just escalate. - Experience with payment posting, cash reconciliation, and resolving complex payment discrepancies for members. Requirements - Experience with Apero and/or Healthie EMR (preferred). - Massachusetts CANS experience (preferred). Benefits - Equity ownership stake in the company. - High-quality health insurance with a $0 monthly premium option for employees. - Dental, Vision, and Employer-Sponsored Life Insurance. - 4 weeks of paid PTO (3 weeks any time + 1 week office closure in December). - Sick Leave + Holidays. - 401K with up to 2% employer match. - $500 annual educational stipend. - Team-based culture with mission-driven colleagues who will go to bat for you.