Role Description Responsible for ensuring accurate and timely insurance authorizations for diagnostic imaging as well as surgical and in clinic procedures. Provides expertise in payer guidelines, coding conventions, and authorization processes to minimize delays and denials. Coordinates with providers, payers, and pre-registration to validate eligibility, and secure approvals. Maintains compliance with institutional, state, and federal regulations while promoting service excellence and operational efficiency. Essential Functions - Obtains prior authorizations for diagnostic imaging as well as surgical and in clinic procedures from insurance payers within required timelines. - Reviews medical records and documentation to determine appropriate clinical information needed for authorization requests. - Applies knowledge of ICD-10, CPT, and HCPCS coding conventions to support accurate authorization submissions. - Confirms patient eligibility and coverage through payer portals and systems to ensure service approval. - Monitors payer guideline updates, and communicates changes to providers and staff. - Maintains HIPAA compliance and safeguards patient information when handling clinical and financial data. - Resolves escalated authorization issues by collaborating with providers, payers, and patients to identify alternatives. - Participates in quality assurance, training, and professional development activities. - Performs other duties as assigned. Qualifications - High school diploma or equivalent. - 2-3 years of experience in a related field. - An equivalent combination of education and experience may be considered. - All experience must be paid and in the same related field. - Part-time and PRN experience will be prorated based on hours worked per week. - Volunteer work and internships for academic credit are not counted. Requirements - Knowledge of ICD-10, CPT, and HCPCS coding conventions. - Ability to maintain HIPAA compliance. - Experience in resolving authorization issues. - Ability to participate in quality assurance and training activities. Working Conditions - Lifting, pushing, and/or pulling objects up to 50lbs: Occasional (< 10% of the time). - Lifting, pushing, and/or pulling objects over 50lbs: Never. - Standing or walking with objects up to 10lbs: Intermittent (10% - 50% of the time). - Standing or walking with objects up to 25lbs: Occasional (< 10% of the time). - Sitting at the computer workstation for extended periods: Intermittent (10% - 50% of the time). - Risk of back injury from moving, lifting or positioning patients, equipment, or materials: Occasional (< 10% of the time). - Repetitive motion: Intermittent (10% - 50% of the time). - Working at heights above 4 feet: Never. - Working in confined spaces: Never. - Risk of injuries from use of equipment on the job: Occasional (< 10% of the time). - Job-related travel: Occasional (< 10% of the time). - Loud noises: Never. - Temperature extremes: Never. - Hazardous chemicals and fumes including waste: Occasional (< 10% of the time). - Radiation: Never. - Burns: Never. - Cuts/Punctures: Occasional (< 10% of the time). - Bloodborne/airborne pathogens: Occasional (< 10% of the time). - Recombinant DNA or viral vectors: Never. - Combative/violent people: Never. - Animal handling (including carcasses): Never. Physical Demands This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds. Department Clearance Shift Days (United States of America) Time Type Full time Address 2201 Lexington Ave, Ashland, Kentucky

Role Description The Licensed Agent Seasonal is responsible for connecting with our client’s existing and potential members/customers while working on projects requiring strong customer service and sales skills to assist members and customers with plan modifications, updates, clarifications, and/or escalations to deliver best-in-class customer service to drive member engagement and retention. - Processing various incoming and outgoing phone calls for assigned clients and programs focused on customer service and/or sales in accordance with policies, procedures, quality standards, and federal laws and regulations. - Call processing includes but is not limited to: - Uncovering member concerns - Presenting solutions - Processing enrollment applications - Overcoming member objections - Transitioning between script elements - Asking for sales - Obtaining, entering, and verifying member information (e.g. names, addresses, etc.) - Answering questions - Resolving issues and providing Member service - Depending on client requirements, either present offers by reading scripted presentations verbatim or paraphrasing and customizing the presentations based off product summary information. - Maintain strict confidentiality of information provided by customer or data accessed within assigned systems. - Ability to handle member/customer inquiries and escalate as appropriate to supervisor those situations outside the Agent’s control. - Maintain all licensing and continued education requirements. Qualifications - Establish and maintain a professional relationship with internal/external customers, team members and department contacts. - Maintain excellent product knowledge regarding product offers, pricing and upsells. - Ability to manage multiple channels of communication, including inbound and outbound phone, email, chat and paper. - Ability to move between varying types of inquiries within the same shift. - Possess a command of the English language with strong written and verbal communication and rapport building skills. - Absorb new information and have the flexibility to adapt to new processes rapidly. - Ability to process a wide range of complex details and articulate the details in simple terms to customers with varying levels of knowledge and education. - Ability to multitask across multi-functional work. - Aptitude for understanding details of insurance or complex information. - Takes initiative and demonstrates active listening and strong problem-solving skills. - Demonstrating sustained confidence and resilience during challenging interactions with the ability to de-escalate as needed. Requirements - High School diploma or GED required; additional education may be required based on individual projects and/or locations assigned. - Must have ability to be licensed and appointed by assigned client in all operating jurisdictions. - Minimum one year of telemarketing, appointment setting experience, one year of Customer Service experience solving customer problems and/or one year of experience in an office setting environment using the telephone or computer as the primary instruments to perform specific job duties. - Strong consultative service and/or sales background. - Experience using Internet, Window applications (Word, Excel) and email services (Outlook). - Based on program assignment, including project and/or location of project assigned, may need to be bilingual in English, Spanish, French, or other languages as designated. Benefits - Medical, dental & vision - 401(k)/Roth - Insurance (Basic/Supplemental Life & AD&D) - Short and long-term disability - Health & Dependent Care Spending Accounts (HSA & DCFSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)

Role Description The role involves acquiring and maintaining knowledge of payor requirements related to patient/hospital responsibilities for authorizations and billing. Key responsibilities include: - Performing insurance authorization for inpatient and outpatient services by collecting and analyzing clinical data. - Consulting with patients and departments regarding uninsured status, uncovered services, and financial responsibilities. - Maintaining knowledge of software programs for eligibility and authorization verification. - Ensuring compliance with policies for Primary Care Physician notification in HMO coverage cases. - Managing incoming and outgoing calls for pre-registration and registration of patients. - Generating and processing required documents for patient registration. - Participating in department meetings and continuing education for skill competency. - Maintaining confidentiality of patient records in compliance with HIPAA. Qualifications - High School Graduate. - Typically requires 2 years of experience in healthcare, insurance, call center, or customer service. Requirements - Ability to problem solve in high-pressure situations. - Ability to prioritize and organize workload. - Mathematical aptitude and effective communication skills. - Understanding of basic human anatomy and medical terminology. - Excellent verbal and written communication skills. - General computer knowledge. Benefits - Paid Time Off programs. - Health and welfare benefits (medical, dental, vision, life, Short- and Long-Term Disability). - Flexible Spending Accounts for eligible health care and dependent care expenses. - Family benefits (adoption assistance and paid parental leave). - Defined contribution retirement plans with employer match. - Educational Assistance Program.

Role Description Inviting applications for the role of Insurance Accountant Domain Trainee English. - Regular posting of business transactions; - Month, Quarter and Year End activities; - Be involved in audit requests; - Support Accounts Payable, Assets accounting and Treasury areas; - Accounts, banks and systems reconciliations; - Intercompany reconciliations; - Support the production of financial monthly reports; - Liaising with internal and external parties to meet agreed deadlines; - Find proactive approaches to ensure regulatory, tax, corporate and compliance requirements are met when applicable; - Analysis and preparation of management information reports as requested; - Support country Finance Manager; - Assure the accuracy of accounting postings and compliance with accounting rules and internal accounting policy and delegated authority matrix; - Resolve queries from stakeholders by e-mail or phone; - Create and/or update processes and internal documentation on a regular basis; - Support and participate in the implementation of continuous improvement or change project work and processes; - Support Line manager in standardization/automation of European procedures; - Delivers exceptional quality service standards/KPI’s and maintain the relevant data updated. Qualifications - Have a degree qualification in Economic/Administrative/Accounting area or equivalent; - Good understanding of the concepts of Income Statement and Balance Sheet; - Fluent in English; - Good interpersonal skills with the ability to work as a member of different teams; - Attention to detail and accuracy, structured and autonomous working style; - Ability to explain findings in a simple way that does not mislead or confuse; - Results driven, with the energy and determination to succeed in a very fast paced environment; - Ability to organise, prioritise and plan workload to meet deadlines; - Curious, willing to learn and showing a challenging conventions spirit; - Good analytical skills; - Critical thinking and a can-do attitude; - Ability to manage relationships with different stakeholders; - Be organised, efficient and logical in the way you carry out your work; - Experience of working in an office environment, ideally in a multinational and multilingual environment; - Experience in Accounting is required; - Knowledge of International Financial Reporting Standards (IFRS) will be an added value; - Ability and energy to meet all accounting deadlines; - Ability to take ownership of accounting problems and apply logical thinking to resolve them; - Ability to focus on making an impact in the area displayed by an eagerness to make a difference; - Ability to challenge conventions to increase efficiency and quality of financial support; - Good computer skills including Microsoft Outlook, Excel (Advanced); - Knowledge of Oracle or similar ERP is a plus; - Good and quick adaptation to internal systems. Requirements - Bachelors - Actuarial Science, Bachelors - Economics, Bachelors - Finance, Bachelors - Risk Management and Insurance, Masters - Statistics; - Certifications: Associate in Claims (AIC), Certified Compliance Officer (CCO), Certified Financial Analyst (CFA), Certified in Risk and Information Systems Control (CRISC), Certified Risk Professional (CRP); - Required Skills: Data Analytics, Insurance, Lean Six Sigma (LSS), Property & Casualty Insurance, Total Quality Management (TQM); - Language: English (Required), Language Proficiency - Advanced - C1; Benefits - Lead AI-powered transformation – Drive innovation and solve real-world business challenges that matter; - Make an impact – Help global enterprises solve business challenges that matter; - Accelerate your career – Gain hands-on experience, mentorship, and world-class learning opportunities to stay ahead; - Work with the best – Join 140,000+ bold thinkers and problem-solvers who push boundaries every day; - Thrive in a values-driven culture – Our courage, curiosity, and incisiveness allow your ideas to fuel progress.