Role Description We are currently looking for a Washington Certified Peer Recovery/Support Specialist to assist our members across Washington State. This role is primarily remote, with occasional community-based work as needed. Peer Recovery/Support Specialists serve as role models for individuals facing substance-exposed living and those in various phases of recovery. In this role, you will follow the Substance Use Disorder Program guidelines to: - Plan care - Assess client needs - Complete screenings - Refer clients to appropriate resources - Coordinate with the Substance Use Disorder Program team, primary care providers, managed care organizations, and community agencies to provide high-quality care Qualifications - You are a Peer Recovery Specialist or Peer Support Specialist who has successfully participated in a recovery program. - You are caring and compassionate, with a passion for helping individuals facing substance-exposed living make positive changes in their lives. - You have strong organizational skills and a talent for problem-solving. Requirements - Identifying individual member needs and documenting interventions based on relationships and assessments. - Providing support to members through a variety of settings and assisting with support groups, as needed. - Contributing to case management meetings to ensure a team approach is delivered for each member. - Completing documentation for member contacts, touches, cancellations and care plans based on organizational policies. - Communicating professionally with members, families, physicians, community agencies, agency leadership and office staff. - Following chain of command in communicating concerns or recommendations. - Responsible for achieving set goals/Key Performance Indicators (KPI's). - Representing and promoting Mindoula and the Substance Use Disorder program through participation and interaction with community, professional organizations and community outreach efforts. - Participating in timely conflict resolution and treating people fairly and with respect. - Supporting all members of the team in performance of their duties. - Participating in any performance improvement processes and initiatives. - Promoting responsible and ethical stewardship of Mindoula's resources. - Maintaining excellent punctuality and attendance during work hours. - Partnering with the enrollment team to grow the member census and identifying eligible members to enroll in the program. - Other duties as assigned. Benefits - Medical, Dental and Vision Insurance - Supplemental Life Insurance - Short Term and Long Term Insurance paid by Mindoula - 401k, with a company match - 3 weeks paid vacation each year, 4 mental wellness days and 11 holidays - Parental Leave: 8 weeks of paid parental leave - Personal Development Program: $500 credit reimbursement per calendar year Company Description We launched Mindoula because each of us has had personal experience with mental illness, either directly or through a loved one. We realized that the behavioral health system was broken and decided to take it upon ourselves to fix it by focusing on the people we serve, not their diagnoses or symptom sets. Each of us, and everyone we serve, is a person first, and a set of challenges second. Come be part of the solution!

Role Description The Department of Revenue Cycle at UT Southwestern Medical Center has a new employment opportunity available for the role of Eligibility Denial Specialist I MSP. This position is responsible for researching basic denied claims based on eligibility to ensure correct payers are billed timely on submitted insurance claims. The duties for this position will consist of but are not limited to the following: - Maintain regular phone communication with patients and insurance companies - Verifying insurance - Updating registration - Working high volume denial inventory - One on one training along with detailed tip sheets - Experience with Parkland Charity processes is preferred Shift: Flex-shift from 0600-5:00pm, 8-hours per day Work From Home (WFH): This is a work from home position. Applicants must live within the Greater DFW area. Additional details related to this will be discussed as part of the interview process. Qualifications - High School Diploma or equivalent - 2 years of medical billing, claims processing, and/or insurance eligibility - May consider medical billing certifications or graduate degrees in lieu of experience Requirements - Review, research and resolve basic denied insurance claims based on eligibility through the billing system, including Medicaid, Medicare, Worker's Compensation, Mental Health payers and third-party payers - Interpret Explanation of Benefits from insurance companies on denied claims - Contact payers via website, phone and/or correspondence regarding claims denied for eligibility - Contact patients and assist with Coordination of Benefits or other coverage denials - Works in up to two professional billing service areas - Updates registration and demographic information in at least two hospital billing service areas - Review and resolve any Visit Filing order changes - Functions as a liaison between clinical departments and third-party payers - Completes special projects as requested - Identifies problems and inconsistencies by using management reports; summarizes findings and makes recommendations to resolve billing issues in an effort to maximize collections - Duties performed may include one or more of the following core functions: - Directly interacting with or caring for patients - Directly interacting with or caring for human-subjects research participants - Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records) - Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records - Performs other duties 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 Du sprichst polnisch und möchtest deine technische Erfahrung aus der Werkstatt in einem modernen Umfeld einsetzen? In dieser Position nutzt Du dein Know-how als Kfz-Experte und bist gleichzeitig wichtiger Ansprechpartner für unsere Partner und Kunden. - Du bist der erste Ansprechpartner für technische Garantiefälle – telefonisch und schriftlich. - Mit deinem technischen Verständnis prüfst du die Plausibilität von Schadenmeldungen und übernimmst die eigenverantwortliche Anspruchsprüfung. - Du bearbeitest und überwachst automatisierte Datenimporte für Polen im Garantieumfeld, stellst die Datenqualität sicher und sorgst damit für einen reibungslosen Ablauf im Hintergrund. - Du steuerst unsere externen Partner, wie Gutachter, und sorgst dafür, dass alles reibungslos abläuft. - Mit deinem Sinn für Details überwachst du die Einhaltung vertraglicher Regelungen und stellst eine transparente Kostenkontrolle sicher. - Ob Autohäuser, Hersteller, Sachverständiger oder Garantienehmer – Du hältst alle Beteiligten stets auf dem Laufenden und bist ein verlässlicher Ansprechpartner. Qualifications - Abgeschlossene KFZ-technische Ausbildung, z.B. als Mechatroniker oder Techniker. - Berufserfahrung im serviceorientierten Umfeld – z.B. als Serviceberater. - Strukturiertes und eigenständiges Arbeiten mit hohem Anspruch an die Qualität der Arbeit. - Freude am Umgang mit Menschen und Verhandlungsgeschick. - Sehr gute Polnischkenntnisse ergänzt durch Deutsch. Requirements - Leidenschaft für Technik. - Serviceorientierung. - Selbstständigkeit und Qualitätsbewusstsein. - Kommunikations- und Verhandlungsgeschick. - Sprachkenntnisse in Polnisch und Deutsch. Benefits - Individuell auf dich abgestimmtes Onboarding. - Sicherheit durch die Anbindung an die Zurich. - Wertschätzendes Arbeitsumfeld und gegenseitige Unterstützung. - Zielgerichtete Weiterbildungsmöglichkeiten zur persönlichen und fachlichen Entwicklung. - Flexible Arbeitszeiten, Homeoffice und zusätzliche freie Tage an Weihnachten und Silvester. - Zusatzkrankenversicherung, Essenszuschuss, Mitarbeiterveranstaltungen und zahlreiche betriebliche Zusatzleistungen.

Title: Senior Claims & Insurance Analyst Job Description: Job ID: 7978464667 Status: Full-Time Regular/Temporary: Regular Shift: Day Job Work Arrangement: Hybrid Facility: Corporate Legal Department: Captives Legal Location: 600 Grant St, Pittsburgh, PA Union Position: No Salary Range: $ 34.98-60.52 USD UPMC Corporate Legal is hiring a Senior Claims and Insurance Analyst to join our team at the US Steel Tower! This role will work Monday through Friday during standard business hours. The Analyst will have the ability to work a hybrid schedule with onsite requirements and work from home. This role manages complex claims involving primary and excess insurance coverages, significant litigation, and extensive liability; monitors claims work on complicated claims; assumes responsibility for reviewing claims for settlement potential; managing the litigation services provided by all subcontracted defense attorneys; and conducts comprehensive audits of litigated files. Do you have prior experience with auto and or property claims? If so, this could be the next step in your career. Apply today! Responsibilities: - Identify and negotiate cost effective claim resolutions/settlements up to designated financial authority or prepare for review/approval by President. - Complete special projects and contribute to daily Risk Management Initiatives as directed by the President or Director. - Serve as the representative of UPMC Corporate & Captive in regard to communicating all legal aspects of claims activity between UPMC and the various commercial insurers and their respective defense firms. - Assist the Director of Corporate & Captive Insurance (Director) with administrating all commercial lines of coverage, including all claims activities associated with the various UPMC commercial policies. - Assist the President and Director of annual policy review of each individual insurance policy written through UPMC Captive Insurance Program. - Prepare and issue all reservation of rights letters on behalf of UPMC Captive Insurance Program, including submitting and coordinating all necessary documentation to commercial carriers of potential and filed lawsuits. - Review daily correspondence to maintain comprehensive claims database with settlements, dismissals, demands, financial reserves and trial dates. - Work with the President, Captive Insurance Program & Counsel (President) to evaluate and coordinate in-house and external counsel assignments for each case. - Analyze complex, technically challenging, and/or sensitive employee related and third party claims that are submitted for coverage under one of, but not limited to, UPMC Captive policies; Directors & Officers Liability, including Employment Practice Liability, Managed Care Errors & Omissions, General Liability and Professional (malpractice) liability. - Prepare all legal correspondence to all program insured(s) and attorneys. - Field a wide variety of phone calls/emails from insureds regarding insurance coverage and claims questions and what to expect during the legal discovery process. - Coordinate and prepare all necessary information for review by President. - Maintain excellent professional relationships with clients, internal as well as external. - Manage the litigation services provided by all subcontracted defense attorneys and conduct comprehensive audits of litigated claim files. - Monitor excess insurance coverages and reserves on a continuous basis. - Provide direction to claims staff (insurance brokers and carriers) to ensure compliance with Claims Service Standards as well as continuously refining and improving claims handling procedures for UPMC’s Corporate & Captive Insurance Program. - Work with President to develop, assign, and carefully monitor reserves for each claim. - Coordinate and conduct regular claim reviews with internal and external staff/clients/defense attorneys. Qualifications: - Associate’s degree in business, Communications, or a related field and five years of claims management experience dealing with indemnity claims - OR bachelor’s degree in business, Communications, or a related field and three years of claims management experience dealing with indemnity claims. - Extensive technical knowledge of claims management and settlements required. - Excellent negotiating skills. - Excellent interpersonal skills. - Leadership abilities. - Excellent written and verbal communication skills. - Ability to communicate clearly via telephone. - Good personal computer skills. Licensure, Certifications, and Clearances: - Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran