• Process third-party billing, claim resolution, and adjudication • Manage FFS and PPS billing • Conduct census balancing and payor verification • Verify insurance and Medicaid coverage • Knowledge of Dual Coverage, MCR D, and Commercial Plans pertaining to Long Term Care • Assist with all customer billing inquiries in a courteous and professional manner • Enter fees and charges in Framework LTC • Prepare daily, weekly, and monthly pre-bills and account audits • Prepare daily, weekly, and monthly reports • Create statements and EOM summaries • Understand and work with residents on account balances • Follow all applicable government regulations including HIPAA • Other duties as deemed necessary by Billing Manager

Role Description - Responsible for customer interactions that result in resolved technical, billing and account queries. - Identify and understand customer needs. - Provide solutions to technical and account management queries. - Resolve customers’ queries, and complaints and manage objections effectively to increase customer satisfaction. - Deliver exceptional service to customers in all interactions. - Diligently execute escalations beyond 1st line support. - Record accurate summaries of customer interactions in the company business system. - Utilise all available tools and resources to resolve customer queries completely. Qualifications - Grade 12/Matric - Computer Literate (MS Excel/MS Word and MS Outlook) - Strong understanding of ISP Networks - 1+ Year customer services experience within an ISP Call Centre - 1+ Year technical and desktop customer service experience - Administration experience is highly recommended Requirements - Call Centre - Technical Support - MS Office Suite - Conflict Resolution - Technical Literacy - Analytical - Strong written/verbal communication skills - Customer Service focused - Assertiveness - Tact and ability to negotiate - Listening and questioning skills - Troubleshooting skills - Objection handling - Attention to detail - Numerical skills - Excellent Communication Skills Benefits - Fully Remote work environment - No need to go into the office; you can work from just about anywhere. - Partnership with Workshop 17 for shared office/workspace access covered by the company. - Provision of all necessary tech equipment for a remote office (laptop, monitor, headset). - Free connectivity provided. - Performance Bonuses of up to 20% of your cash salary paid out quarterly, based on company targets. - Team buildings and cultural activities as well as company events.

Title: Subrogation Specialist (Healthcare) Location: United States - Job Identification14775 - Job RoleSubrogation-Subrogation - Experience (In Years)0-3 - Job LocationRemote Job Description: This is a Remote Full-time opportunity This position requires the Subrogation Specialist to process a paperless health insurance subrogation caseload by investigating potential cases and pursuing med-pay, no-fault, liability, and workers' compensation recoveries. Responsibilities include, investigating new potentials cases, placing outbound calls as well as submitting correspondence to health plan members, insurance companies, and attorney offices. The Subrogation Specialist coordinates efforts with other members of the subrogation team to maximize recovery in accordance with EXL's Subrogation Policies and Procedures. Complying with HIPAA regulations as well as EXL's HIPAA and Information Security policies and procedures, including required training and incident reporting. EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL's Human Resources team, as well as our hiring managers. Required Skills - Working knowledge of Microsoft Word, Excel, internet research skills - High School or equivalent education level Preferred Requirements - 1+ years of subrogation experience - 1+ years of claims experience. - 1+ years of heavy call volume support experience Professional Skills - Developed customer service skills. - Strong organizational and time management skills - Ability to work independently and as part of a team. Compensation - $16.00 - $19.00 hourly (DOQ)* What We Offer EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. From your very first day, you get an opportunity to work closely with highly experienced, world-class Healthcare consultants. You can expect to learn about many aspects of businesses that our clients engage in. You will also learn effective teamwork and time management skills - key aspects for personal and professional growth. We provide guidance/ coaching to every employee through our mentoring program where in every junior level employee is assigned a senior level professional as advisors. Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond. - The posted range is the hiring range for this role - a subset of the broader range available to employees over time - and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate''s skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. - Learn and understand fundamentals of health insurance subrogation, including basic health plan contractual provisions that apply to the reimbursement efforts. - Review, Identify and develop subrogation opportunities by gathering missing information and potential sources of recovery. - Place parties of interest on notice - Organize and structure investigations to work in priority order using the tools provided. - Respond timely to all electronic, written, and verbal communications. - Log and maintain detailed and accurate records. - Access and pull benefits from clients' health claim systems. - Pursue worker's compensation, third party liability, first party uninsured and underinsured recovery, worker's compensation, med-pay coverage, and no-fault recoveries. - Engage advice and/or help of legal manager to proactively resolve cases. - Ensure compliance of state and federal laws - Adhere to settlement authority levels. - Maintain department productivity and quality standards. - Sensitivity to privacy in accordance with HIPAA guidelines - Learn and understand fundamentals of health insurance subrogation, including basic health plan contractual provisions that apply to the reimbursement efforts. - Review, Identify and develop subrogation opportunities by gathering missing information and potential sources of recovery. - Place parties of interest on notice - Organize and structure investigations to work in priority order using the tools provided. - Respond timely to all electronic, written, and verbal communications. - Log and maintain detailed and accurate records. - Access and pull benefits from clients' health claim systems. - Pursue worker's compensation, third party liability, first party uninsured and underinsured recovery, worker's compensation, med-pay coverage, and no-fault recoveries. - Engage advice and/or help of legal manager to proactively resolve cases. - Ensure compliance of state and federal laws - Adhere to settlement authority levels. - Maintain department productivity and quality standards. - Sensitivity to privacy in accordance with HIPAA guidelines

Title: Investigative Specialist, Truework Location: Denver United States Job Description: About Checkr Checkr is building the data platform to power safe and fair decisions. Checkr's innovative technology and robust data platform help customers assess risk and ensure safety and compliance to build trusted workplaces and communities. Checkr has over 100,000 customers including Amazon, DoorDash, Netflix, Kimpton, and Anthropic. We're a team that thrives on solving complex problems with innovative solutions that advance our mission. Checkr is recognized on Forbes Cloud 100 2025 List and is a Y Combinator 2024 Breakthrough Company. About the Role Truework, recently acquired by Checkr, provides access to crucial employment, income information, and asset information needed for mortgage loans, apartment rentals, background checks, and more. We are disrupting a $5B+ industry, dominated by legacy incumbents and outdated processes, with a better product and intense customer focus. Within Checkr, Truework operates independently, allowing rapid iteration while also being able to leverage the strengths and assets from our core business. Think of it like joining a startup within a startup! As a QA Specialist, you will safeguard the integrity of Truework verifications by auditing HR Reports and Outreach workflows for accuracy, completeness, compliance, and professionalism. You'll apply rulesets used in Report QA (identity/entity matching, data consistency/completeness, correctness), and assess adherence to Smart Outreach cadences across phone, email, and fax. Your work will help to directly improve verifier satisfaction, reduce rework, and support on-time delivery targets. What You'll Do: - Audit completed verification reports against Report QA rulesets, validating identity and entity matching, field completeness, internal consistency, and reasonableness of data. - Execute Outreach QA reviews on a randomized sample of manual-source verifications (email, fax, phone, third-party providers), ensuring required actions are logged, follow-ups meet cadence expectations, and communications meet tone and professionalism standards. - Use the Internal Validator findings to confirm required fields are populated (e.g. employment status with corresponding dates), and flag illogical data (e.g. inactive target with missing end date). - Document QA outcomes precisely (pass, soft fail, hard fail, warning), citing evidence and rule references to enable rapid fixes and learning feedback loops. - Collaborate with Outreach and Transcription team leadership to resolve discrepancies, coach to standard work, and reduce repeat errors over time. - Support SLA and KPI attainment by promptly reviewing queued items and escalating risk on time-sensitive verifications. What You Bring: - Experience with or interest in QA, operations auditing, or compliance within background screening, VOE/VOI lending, HR operations, or similar data-sensitive environments. - Working knowledge of the Truework verification workflows, including manual outreach methods and transcription best practices; familiarity with Report QA concepts (rulesets and outcomes). - Detail orientation with structured note-taking and the ability to cite evidence for each QA finding; strong written communication and professional etiquette. - Analytical judgment to distinguish between soft fails and hard fails, escalate appropriately, and recommend course corrections. - Exposure to Looker-based sampling and/or dashboards for audit selection and metrics tracking. - Understanding of FCRA-adjacent practices and secure data handling expectations. - An A-player mindset with a strong bias for action: you raise the bar, move with urgency, stay resilient through ambiguity, and take ownership to deliver meaningful outcomes. Pay Transparency Disclosure We use geographic cost of labor as an input to develop ranges for our roles and as such, each location where we hire may have a different range. If this role is remote, we have listed the top to the bottom of the possible range, but we will specify the target range for an exact location when you are selected for a recruiting discussion. For more information on our compensation philosophy, see our website. Hourly Pay Range (San Francisco, CA) $24.04-$29.81 USD Pay Transparency Disclosure We use geographic cost of labor as an input to develop ranges for our roles and as such, each location where we hire may have a different range. If this role is remote, we have listed the top to the bottom of the possible range, but we will specify the target range for an exact location when you are selected for a recruiting discussion. For more information on our compensation philosophy, see our website. Hourly Pay Range (Denver, CO) $20.19-$25.48 USD Pay Transparency Disclosure We use geographic cost of labor as an input to develop ranges for our roles and as such, each location where we hire may have a different range. If this role is remote, we have listed the top to the bottom of the possible range, but we will specify the target range for an exact location when you are selected for a recruiting discussion. For more information on our compensation philosophy, see our website. Hourly Pay Range (Nashville, TN) $18.27-$23.08 USD What We Offer - A fast-paced and collaborative environment - Learning and development allowance - Competitive cash and equity compensation, and opportunity for advancement - 100% medical, dental, and vision coverage - Up to $25K reimbursement for fertility, adoption, and parental planning services - Flexible PTO policy - Monthly wellness stipend At Checkr, we believe an in office work environment strengthens collaboration, drives innovation, and encourages connection. Our hub locations are Denver, CO; San Francisco, CA; Nashville, TN; and Santiago, Chile. Individuals are expected to work from the office 3+ days a week. In-office perks are provided, such as lunch five times a week, a commuter stipend, and an abundance of snacks and beverages. A relocation stipend may be available for those willing to relocate to a Checkr hub location. Equal Employment Opportunities at Checkr Checkr is committed to building the best product and company, which requires hiring talented and qualified individuals with a diverse set of perspectives and lived experiences. Checkr believes in hiring people of all backgrounds, including those whose histories are impacted by the justice system in accordance with local, state, and/or federal laws, including the San Francisco's Fair Chance Ordinance.