Role Description UT Southwestern Medical Center has a new opportunity for an Insurance Specialist II. We are seeking a detail-oriented and dependable professional to join our team in a high-volume, metric-driven role focused on insurance verification and authorization. The ideal candidate will have prior experience in a hospital or medical office setting, with a strong understanding of healthcare insurance processes. This position requires accuracy, efficiency, and the ability to meet performance metrics in a fast-paced environment. Candidates must be comfortable working with various insurance providers, electronic health records (EHR) systems, and collaborating closely with clinical and administrative teams to ensure timely and accurate authorizations. - Work From Home (WFH): This is a WFH position. Applicant must live in TX. - Shift: Flex-start 8-hour days, Monday through Friday Qualifications - High School diploma or equivalent - 3 years of benefit verification/authorization experience or equivalent - 1 year Customer Service experience - 3 years Clinical / Medical/Precertification/Predetermination/Authorizations/Verification experience - 4 years end user Desktop Tools experience (Microsoft Outlook, Microsoft Word, Office Equipment/Fax/Copier) - 1 year of EPIC experience Requirements - Monitors the correct patient work queue to determine accounts needing verification. - Coordinates with physician's office and/or ancillary department regarding additional information needed to obtain pre-certification and insurance benefits. - Maintains department productivity standards. - Pre-registers patient cases by entering complete and accurate information prior to patient's arrival. - Identifies and verifies all essential information pertaining to intake, insurance verification/eligibility, and precertification on all applicable patient accounts. - Documents pertinent information and efforts in computer system based upon department documentation standards. - Verifies insurance information by utilizing insurance websites or calling insurance companies to verify active coverage, deductible, copay and any other specific information needed in accordance to the verification guidelines. - Creates and calls patients with cost estimate for scheduled appointments. - Ensures all exams are scheduled with proper patient class and clinical indicators and coding nomenclature. - Monitors, verifies, transcribes faxed documents to select insurance companies regarding authorization requests. - Accurately monitors, reviews, data enters and processes authorizations and validates that the requests are accurate, within the required timeline, and in compliance with the applicable insurance guidelines. - Follows strict quality measures of documents scanned into the electronic medical record and/or submitted to applicable insurance. - Protects the privacy and security of patient health information to ensure that confidentiality is maintained. - Counsels offices and/or patients when an out of network situation becomes apparent or other potential payor technicalities arise. - Coordinates as needed with other departments/ancillary areas for special needs or resources. - Verifies insurance coverage and eligibility for all applicable scheduled services specific to the type of procedure and/or exam, and site of service. - Evaluates physician referral and authorization requirements and takes appropriate steps to ensure requirements are met prior to date of procedure. - Tracks cases to resolution. - Coordinates with case management, physician's office and/or ancillary department regarding any additional information needed on their part to obtain pre-certification and insurance benefits. - Pre-registers patient cases by entering complete and accurate information in EPIC ADT hospital billing system prior to the patient's arrival. - Confirms accuracy of scheduled procedure/s, observation, surgical observation and day surgery patients when converted to inpatient status. - Contacts patient as appropriate to collect critical information and/or to advise of benefits information and "out of network" situations. - Coordinates with the financial counselor or other entity as appropriate and per customer satisfaction guidelines. - Adheres to HIPAA guidelines when contacting patient. - Performs other duties as assigned. - Demonstrates ongoing competency skills including above level problem solving skills and decision-making abilities. - Maintains the strictest confidentiality in accordance to policies and HIPAA guidelines. - With general oversight, follows our current policies and procedures and responds to administrative directives. - Enters accurately prior authorization data and in accordance with established guidelines, including diagnosis of service and procedure codes. - Promotes team engagement. - Performs other related duties and projects as assigned. 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

Role Description We are seeking an experienced Healthcare Virtual Assistant to support a busy vascular surgery practice with prior authorizations, insurance verification, referrals, patient estimates, and medical records coordination. This role requires someone who can work independently, think critically, and manage multiple time-sensitive requests while maintaining accuracy and professionalism. The ideal candidate has extensive experience working with U.S. healthcare practices and is highly skilled in authorization workflows, insurance verification, CPT coding review, and clinical documentation support. Core Responsibilities - Prior Authorization Management (Top Priority) - Manage prior authorizations for vascular surgery procedures - Submit and track radiology authorizations (CT, MRI, MRA, CTA, Ultrasound) - Monitor authorization requests and update CPT codes when procedures change - Prepare and submit authorization letters and supporting documentation - Communicate with insurance companies regarding approvals, denials, modifications, and status updates - Manage TriWest and Veteran authorization requests - Review patient charts and gather supporting clinical documentation for insurance submissions - Collaborate with providers and nurses to obtain missing clinical information - Insurance Verification, Referrals & Patient Estimates (Top Priority) - Verify insurance eligibility and patient benefits - Handle HMO referrals and referral follow-ups - Review patient notes and identify appropriate CPT codes - Generate patient cost estimates based on CPT codes and insurance coverage - Verify copays, deductibles, and out-of-pocket expenses - Assist with patient billing inquiries and insurance-related questions - Medical Records & Clinical Documentation Coordination (Top Priority) - Process and follow up on medical record requests - Ensure imaging reports, laboratory results, and medical records are received before appointments - Review clinical notes and extract relevant information for authorizations - Maintain accurate documentation within the EHR/EMR system - Monitor internal communications and respond to authorization-related requests in real time - Additional Administrative Support - Follow up on billing claims and insurance issues - Manage documentation related to referrals, insurance, billing, and patient records - Provide administrative support for healthcare operations and scheduling workflows Qualifications - Extensive experience with prior authorizations is required - Extensive experience with insurance verification and benefits verification is required - Experience managing HMO referrals and authorization workflows is required - Strong understanding of CPT codes and medical billing processes is required - Experience working with U.S. healthcare practices is required - Healthcare administrative experience is required - Experience with vascular surgery, specialty care, or radiology authorizations is highly preferred - Previous virtual assistant experience preferred but not required Requirements - Strong understanding of prior authorization processes - Experience handling radiology authorizations (CT, MRI, MRA, CTA, Ultrasound) - Ability to review clinical notes and gather supporting documentation - Experience with patient estimates and insurance benefit verification - Strong documentation and record management skills - Proficiency with EHR/EMR systems - Strong critical thinking and problem-solving abilities - Excellent organizational and time management skills - Ability to manage multiple authorization requests simultaneously - Strong communication skills with insurance companies, providers, nurses, and patients - Ability to work independently with minimal supervision - Strong sense of urgency and follow-through Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

Role Description Silvur is looking for a Product Specialist to serve as the central expert on our Medicare platform across a large and growing portfolio of credit union partners. This is a consolidated role that brings together what was previously split across two positions — partner success and operational partnership management — into a single, senior owner accountable for product adoption, enablement, and long-term partner health. This is not a sales or business development role. You will not be sourcing or closing new credit union partnerships. Instead, you will go deep with our existing and newly onboarded partners — driving real product utilization, building staff capability, and ensuring Silvur’s Medicare solutions are genuinely embedded in the credit union member experience at scale. You’ll manage 16+ active credit union partners, which means your success depends not just on relationship quality but on your ability to build repeatable playbooks, scalable training programs, and data-informed engagement strategies that work across a large book of business. What You’ll Own - Product Adoption & Partner Enablement - Serve as the primary product expert for Silvur’s Medicare platform across all active credit union partners. - Design and deliver scalable training programs for credit union staff, in-branch teams, and executive stakeholders in collaboration with local Silvur Medicare agents. - Translate complex Medicare product features into clear, actionable guidance tailored to each partner’s member base and operational context. - Build repeatable enablement materials, playbooks, and resources that can be deployed efficiently across a large partner portfolio. - Partner Relationship Management - Own the ongoing relationship for 16+ credit union partners, serving as the primary point of contact for product questions, support escalations, and program optimization. - Ability to lead with executive presence. Teammate will be interacting daily with the C-suite at credit unions. Knowing how to serve and engage them will be critical to your success. - Manage quarterly business reviews and proactive check-ins to surface adoption gaps, celebrate wins, and align on goals. - Customize referral workflows and program configurations to match each partner’s systems and preferences. - Identify and act on opportunities to deepen product usage within existing accounts. - Onboarding & Implementation - Lead new partner onboarding end-to-end — from kickoff through full program deployment — with a structured, education-first approach. - Coordinate project timelines, training delivery, and onboarding documentation across internal and partner teams. - Serve as the connective tissue between credit union stakeholders (marketing, operations, executive sponsors) and Silvur’s internal teams. - Tech and AI Curiosity - Excitement to build AI-first delivery model. - Comfort with Claude, ChatGPT is essential as you will be building automations to support scaling partner deliverables. - Replace Powerpoint & Excel with Google suite. Add Hubspot, Asana, Canva to the tech stack to streamline deliverables. - Data, Reporting & Cross-Functional Collaboration - Establish and monitor referral tracking, engagement metrics, and product utilization data across the portfolio. - Surface insights and trends to internal teams; translate partner feedback into actionable product and process recommendations. - Partner with operations, product, and marketing teams to improve member outcomes and influence the product roadmap. Requirements - 5+ years of experience in partner success, client onboarding, account management, or product specialist roles — ideally managing large portfolios (10+ accounts). - Prior start-up experience required; comfort with ambiguity and building processes from scratch. - Background in insurance, Medicare, financial services, or B2B2C platform partnerships; ability to quickly become a credible product expert. - Proven ability to build and deliver training programs or enablement materials for non-technical audiences. - Experience using data to identify adoption gaps, measure engagement, and drive program improvements. - Strong PowerPoint and Excel skills; prior experience with project management tools such as Asana; comfortable with Google Suite, Zoom, Teams, and similar platforms. - Excellent communication and consultative skills; confident leading cross-functional projects with stakeholders at all levels. - Genuine passion for helping people navigate retirement and healthcare decisions. Benefits - Employees receive a total compensation package including salary, options, health benefits (healthcare, vision, and dental), paid time off + holidays, and 401k with employer contribution. - You may choose the technology you need to help you excel in your role. - You will work in a flexible environment with an impact-driven, high-growth team that is changing the future of retirement healthcare. - Base Salary: $90,000 – $110,000 per year, depending upon experience. - Incentive: This role is eligible for incentive with a target of up to $40,000 depending on results. Company Description Silvur Technology Services is an equal opportunity employer. We’re committed to building a team that reflects the diverse communities we serve and creating a workplace where everyone feels valued and included.

Role Description Hi, we're Oscar. We're hiring a Senior Manager, Insurance Growth Strategic Implementation to join our Strategic Implementation Team. The Senior Manager, Insurance Growth Strategic Implementation is responsible for leading the end-to-end execution of high-priority insurance growth initiatives- from concept through go-live and transition to steady-state ownership. You'll serve as the primary driver of execution for complex, cross-functional implementations, taking full accountability of day-to-day program management and execution. These are high-visibility and high impact initiatives such as new partnerships, reciprocity arrangements, and net-new product launches. You'll operate at the center of delivery, ensuring initiatives are executed on time, within scope, and aligned to enterprise timelines. These timelines include filings, OE, and 1/1 readiness. Meanwhile, you'll proactively manage risks, dependencies, and stakeholder alignment. You will report into the Director of Insurance Growth Strategic Implementation. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities - Using a cross-functional lens and subject matter expertise, drive end-to-end operational excellence. - Manage large, multiple cross-functional work groups that support and optimize end-to-end program process. - Lead, oversee, and coordinate the various projects, products and strategic initiatives. - Leverage subject matter expertise to drive targeted program standardization, operationalization, and issue resolution. - Develop, present, and maintain executive reporting materials for senior leadership teams. - Identify risks and improvement opportunities to develop and implement new programs. - Organize and catalog meeting notes, action items, decisions made, and follow-ups. - Compliance with all applicable laws and regulations. - Other duties as assigned. End-to-End Program Execution - Own execution of strategic growth initiatives from intake through implementation, launch, and transition to run-state teams. - Translate strategic concepts into executable plans with clear milestones, owners, and deliverables. - Drive adherence to enterprise timelines, including alignment with filings, regulatory milestones, and operational readiness. Program & Dependency Management - Build and manage integrated project plans across product, network, regulatory, tech, operations, and vendor teams. - Identify, track, and actively manage cross-functional dependencies, risks, and critical path items. - Drive a culture of proactive transparency across matrixed teams. Cross-Functional Leadership - Serve as the central point of coordination across internal teams and external partners/vendors. - Drive accountability to timelines, quality, and outcomes across all contributing teams. - Facilitate working sessions, readiness reviews, and execution checkpoints. Launch & Readiness Management - Drive go-live readiness, including operational, technical, regulatory, and vendor preparedness. - Support Command Center and launch activities, ensuring rapid issue identification and resolution. - Define the parameters for implementation completion and facilitate a structured handoff to operational teams. Process Rigor & Continuous Improvement - Enforce standardized implementation processes, governance, and documentation practices. - Identify opportunities to improve execution efficiency, reduce rework, and enhance scalability. - Contribute to development of playbooks for repeatable growth initiative execution. Qualifications - Bachelor's Degree or 4+ years of commensurate experience. - 6+ years of program or project management experience, preferably in healthcare, insurance, or highly regulated industries. - 6+ years experience in change management and process improvement and implementation. - 6+ years of experience solving health plan operational problems. - Proven track record leading complex, cross-functional implementations from concept through launch. - Strong understanding of operational readiness, regulatory considerations, and product implementation lifecycles. - Experience managing external partners and vendors. - Exceptional ability to manage ambiguity, drive clarity, and execute in fast-paced environments. Core Competencies - End-to-end execution ownership. - Cross-functional influence without authority. - Structured problem solving and risk management. - Strong communication and executive-ready reporting. - Ability to operate at both strategic and tactical levels. Bonus Points - Experience working within a rapidly scaling organization. - BA/BS Degree. - Masters in Business Administration or healthcare related field(s) preferred. Travel Required - If outside NY, 10%. Benefits - Medical, dental, and vision benefits. - 11 paid holidays. - Paid sick time. - Paid parental leave. - 401(k) plan participation. - Life and disability insurance. - Paid wellness time and reimbursements.