• Selling and/or servicing General Motors Insurance policies while ensuring compliance with company policies and procedures, state and federal laws. • Provide quotes to customers and convert them to long-term General Motors Insurance customers. • Assisting customers with their post-sales questions and policy changes via a variety of contact methods. • Proactively partnering with internal business partners, team leaders, and managers to resolve complex customer issues. • Expected to perform any tasks assigned as business needs require.

• Provide a high level of support and consultation as it relates to quoting, selling and servicing insurance policies, counseling and providing guidance on matters of protection and coverage, and answering complex questions as it relates to billing, renewals, and endorsements • Provide remarkable service across channels to positively impact customer retention and loyalty creating life-long customers and promoters • Resolves customer complaints and seeks management assistance for complaint resolution timely and as needed • Capture and deliver a high level of service by gathering, processing, consolidating, and analyzing data to promote brand loyalty and increase retention for the General Motors Insurance brand • Monitor and maintain a closed loop feedback process to ensure that all customer requests and expectations are exceeded, including scheduling appropriate account follow-up to ensure customer expectations are met and the highest level of satisfaction is delivered • Establish open communication and build professional relationships with other departments in an effort to enhance the customer experience and secure customer loyalty • Demonstrate a high degree of professional decorum to represent General Motors Insurance in a positive manner • Execute specialty team processes and strategies as assigned by General Motors Insurance leadership

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.