• Understand underwriting policies, guidelines, practices and procedures • Determine whether to accept, modify, or decline a risk through evaluation of an individual's medical history or physical condition, occupational hazard, and financial background • Communicate effectively both written and verbally to explain underwriting decisions • Influence and champion changes to improve processes while maintaining mortality expectations • Work efficiently to gather information necessary for decision making • Ability to independently work assigned requests with minimal direction • Comfortable with ambiguity

• Accurately prepare and submit claims to Medicaid, Medicare, Commercial, VA, Champus, and Workers’ Compensation • Review and ensure the accuracy of billing data and claims before submission • Follow up on unpaid claims and ensure timely payment from insurance providers • Resolve billing issues and discrepancies by working closely with healthcare providers, patients, and insurance companies • Maintain up-to-date knowledge of billing regulations and insurance guidelines • Assist in the preparation and analysis of billing reports • Communicate with healthcare clients to ensure proper billing practices • Provide exceptional customer service to patients and address billing inquiries promptly and professionally

• Review transfer date auto report totals • Work in the Ntierprise/Allscripts system import total encounter • Preview transactions report; make corrections to providers, site, and aliment information for MVA, WC, MD, insurances • Review claims reports and validations; make all corrections to insurance, patient registrations • Correct registrations entered into the Ntierprise/Allscripts system

• Process provider enrollment applications for providers/groups • Research insurance provider enrollment requirements by state • Enter group/individual data to credentialing system • Prepare and submit provider enrollment applications to insurance carriers • Follow-up on provider enrollment applications with provider, insurance company or client sites • Interact with providers via phone or email as needed • Collaborate with Account Managers to resolve provider denials • Update/Maintain Provider Enrollment Credentialing System • Attend conference calls with clients as requested