• Minimizes reimbursement barriers for patients and providers by assisting with determining coverage and access options • May assist healthcare providers with questions related to payer policies, patient assistance, and reimbursement support services • Resolves coverage and reimbursement issues that may create barriers to access for patients • Remains knowledgeable of private payer, Medicare, and Medicaid structure systems and reimbursement processes • Respond to all patient, nursing, and provider account inquiries • Determines practitioner eligibility for enrollment • Completes and processes all paper and/or electronic applications for the government payers and non-delegated commercial payers • Completes applications to revalidate individual providers, as well as University of Rochester groups, with Medicare and Medicaid as required each cycle • Completes new enrollments of APP’s and performs updates regarding changes for enrolled APPs for the commercial delegated payers such as change in locations, tax IDs, etc. • Ensures applications and files are securely submitted to the respective entities upon completion and in accordance with the specific requirements • Communicates status of files or other payer enrollment/credentialing information directly to providers, various department representatives, and/or outside organizations, clients or affiliates • Coordinates activities related to the electronic submission of applications through the online Medicare system as well as paper applications • Analyzes application and supporting documents for accurateness and completeness, including all required verifications and documentation • Sets up new University groups with new Tax IDs with the appropriate government payers as needed • Works with team leaders and staff to ensure files and/or applications and revalidations are completed accurately and within the required timeframes • Documents and tracks the status of provider enrollment applications for Medicaid, Medicare, and some Commercial Payers that are not part of Delegation • Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission • Completes the Electronic Provider Assisted Claim Entry System enrollment for electronic Medicaid billing for new provider after they are approved by Medicaid, when applicable • Sets up the Electronic Transmitter Identification Number (ETIN) for electronic Medicaid billing for individual and group enrollments, when applicable • Coordinates the transfer of data and electronic information with key leaders, including the hospital electronic medical record team and the delegated commercial payer with contracts • Collaborates directly with providers and various department representatives, including billing, to obtain information related to practice addresses, taxonomy codes, and to secure provider and authorized official signatures • Communicates the status of the applicants credentialing and payer enrollment files directly to providers and various department representatives and coordinates efforts to obtain necessary information and/or documentation to ensure deadlines are met • Notifies providers and various department representatives when approval and enrollment confirmation is received from the payers • Assists APPs as requested with the CAQH (Committee for Affordable Quality Healthcare) profiles • Collaborates with other University departments to ensure compliance with all standards and policies • Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day-to-day payer enrollment issues as they arise • Represents the department for various initiatives and/or committee meetings as needed • Serves as the primary back up to all payer enrollment staff and management • Serves as a Team Peer Interviewer as needed • Other duties as assigned

Role Description Are you passionate about helping others explore new possibilities, discover exciting destinations, and create unforgettable travel experiences? We are expanding our remote team and seeking enthusiastic, people-focused individuals to join us as Travel Opportunity Specialists. In this role, you will work with clients to identify travel opportunities that match their interests, preferences, and budget. You'll help travelers navigate their options, provide personalized recommendations, and support them throughout the planning and booking process. From all-inclusive resorts and cruises to family vacations, destination celebrations, group travel, and international adventures, you'll help clients transform travel ideas into well-planned experiences while developing valuable skills in customer engagement, sales, and travel consulting. Key Responsibilities - Connect with clients to understand their travel goals, interests, and vacation preferences - Research destinations, resorts, cruises, guided tours, and travel experiences - Present customized travel recommendations based on client needs and budget considerations - Assist with coordinating accommodations, transportation, activities, excursions, and vacation packages - Help clients compare travel options and make informed planning decisions - Communicate professionally through phone, email, and virtual communication platforms - Coordinate reservations and itinerary details with supplier partners - Monitor booking progress, confirmations, and travel updates - Maintain organized records of client interactions, travel plans, and reservations - Stay informed about destination highlights, travel trends, and supplier promotions - Deliver exceptional service and support throughout the client experience Qualifications - Interest in travel, hospitality, customer service, sales, consulting, or client-focused roles - Strong communication and relationship-building abilities - Ability to provide outstanding service and develop positive client relationships - Excellent organizational and multitasking skills - Comfortable working independently in a remote environment - Basic computer proficiency and familiarity with online platforms and applications - Self-motivated, dependable, and eager to learn - Strong attention to detail and problem-solving abilities - Must be at least 18 years of age - Must reside in the United States, United Kingdom, Mexico, Spain, Australia, or another approved hiring region Benefits - Fully remote work opportunity - Flexible scheduling designed around your availability - Comprehensive onboarding and professional training program - Ongoing mentorship, coaching, and development support - Access to travel suppliers, booking platforms, and industry resources - Travel incentives, discounts, and exclusive industry benefits - Opportunities for advancement and leadership growth - Supportive and collaborative virtual team environment - Valuable experience in customer engagement, travel consulting, sales support, and business development

• Coordinate and facilitate project activities and may serve as a study lead • Perform department, Internal, Country and Investigator file reviews as assigned and document findings • Ensure allocated tasks are performed on time, within budget and to a high quality standard • Proactively communicate any risks to project leads and line manager • Support the maintenance of study specific documentation and global support with specific systems, tools and trackers • Ensure (e)TMF is up to date • Provide system support • Support RBM activities • Perform administrative tasks on assigned trials • Support scheduling and organization of client and/or internal meetings • Review and track local regulatory documents • Transmit documents to client and centralized IRB/IEC • Analyze and reconcile study metrics and findings reports • Maintain vendor trackers • Assist with coordination, compilation and distribution of Investigator Site File and Pharmacy binder materials • Assist with study-specific translation materials and translation QC upon request • Attend Kick off meeting and take notes when required

• Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers • Completes referrals and/or authorizations accurately and consistently with minimal supervision • Processes authorization and referral requests for members in coordination with health plans and contracted providers • Provides support to the Case Management staff • Serves as a resource to providers regarding the authorization process