Role Description As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Responsibilities: - Performs the functions of patient account management for individuals receiving services. - Completes tasks of insurance verification, obtaining precertification, completing credit statements, making payment plans, requesting deposits, and initiating referrals to sponsorship programs. - Coordinates account management through discharge and forwards accounts to the patient accounting office. ESSENTIAL FUNCTIONS: - Initiates appropriate contact with third-party payors to verify insurance benefits of patients. - Documents information in an accurate and timely manner in the hospital computer system. - Maintains a monitoring system of benefits throughout all inpatient stays. - Obtains any signatures required to obtain verification and secure benefits. - Informs patients of hospital financial policies. - Establishes payment plans for patients according to these policies using results of credit statements. - Assists patients in identifying resources to meet their hospital obligation. - Serves as an information channel for obtaining pre-certification approvals for elective and other inpatient stays. - Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed. - Interviews responsible parties to determine credit status as a tool for securing patient accounts. - Verifies information collected and maintains confidentiality of all patient information. - Exercises knowledge of sponsorship programs available to patients. - Initiates the application process, including completing forms and scheduling appointments. - Calculates deposit requirements for patients using knowledge of credit policy and hospital charges. - Informs patients of deposit and requests payments. - Coordinates collection of deposit amounts with Admitting Officers and Cashiers. - Discusses pending admissions with physicians and their office staff to ensure proper information is received. - Other duties as assigned. Qualifications - High School diploma or equivalent and 4 years of experience in patient accounts related area required. - Bachelor's degree preferred. - Or equivalent combination of education and experience. Requirements - The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. - This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

Role Description The Insurance Verification Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third party payer authorization requirements and collaborates with the appropriate clinical partners, case managers, financial counselors, payers, and others to make sure the necessary authorization is obtained. The Insurance Verification Specialist provides detailed and timely communication in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned. Qualifications - Minimum of one year experience in a hospital admitting/registration/billing/managed care department. - Demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's, and PPOs. - High School diploma or equivalent is required. Requirements - Knowledge of online insurance eligibility systems. - Excellent typing and computer skills. - Familiarity with Medical Terminology. - Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity. Benefits - Pay is expected to be between: $20.45- $27.81 (hourly). - Paid time off. - Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities. - Academic Partnership with the Medical College of Wisconsin. - Referral bonuses. - Retirement plan - 403b. - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics. - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available. Company Description The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

• Lead and manage the claims process for diagnostic laboratory services from claim submission through final resolution, ensuring timely and accurate reimbursement. • Oversee the review and resolution of denied, pending, and aging claims, ensuring thorough investigation and appropriate corrective action. • Ensure claims are submitted and managed in accordance with payer requirements, billing guidelines, and regulatory standards. • Partner with internal teams and external billing vendors to resolve complex claim issues and improve reimbursement outcomes. • Monitor claims inventory, accounts receivable performance, and operational metrics to ensure service level expectations are achieved. • Lead, coach, and develop the Claims team, setting clear performance expectations and driving accountability for productivity, quality, and reimbursement results. • Analyze claims and denial trends, identify root causes, and implement process improvements to reduce preventable denials and enhance claim performance. • Communicate effectively with payers, vendors, and internal stakeholders to resolve issues, provide updates, and support organizational objectives. • Prepare regular reports on claims activities, operational performance, reimbursement trends, and team productivity for leadership. • Coordinate system implementations, upgrades, and process improvements related to claims workflows and billing operations and oversee ongoing support and maintenance activities. • Develop and maintain claims-related policies, procedures, training materials, and operational best practices. • The job may have added responsibilities as assigned. All job duties must be performed in a manner that demonstrates the company's Leadership Attributes and supports the Mission & Values of the company.

Employee Applicant Privacy Notice Who we are: Shape a brighter financial future with us. Together with our members, we’re changing the way people think about and interact with personal finance. We’re a next-generation financial services company and national bank using innovative, mobile-first technology to help our millions of members reach their goals. The industry is going through an unprecedented transformation, and we’re at the forefront. We’re proud to come to work every day knowing that what we do has a direct impact on people’s lives, with our core values guiding us every step of the way. Join us to invest in yourself, your career, and the financial world. The role: We are looking for an experienced insurance agent to help build the SoFi Protect business and deliver exceptional experiences for SoFi members. SoFi Protect is the in-house insurance agency helping SoFi members fulfill their protection needs across Life, Home, and Auto Insurance. If you like to SELL and ADVISE customers this role is for you. You will interact with members via email, chat, and phone to provide guidance and help them through coverage conversations. Since this is a newer part of the SoFi business, you will also be integral in building out the core processes and functions to shape and define how insurance is sold at SoFi. This opportunity is for go-getters who want to be in a business at an early stage, helping to shape the future and accelerate their careers in sales and operations. By running after problems, putting members first, and having a positive approach, you will thrive and deliver differentiated experiences for our members. What you’ll do: - Engage potential and current members via phone, email, text, and chat to assist with their insurance needs - Receive new leads and manage a pipeline of both SoFi members and direct-to-consumer leads - Drive the entire lifecycle of the insurance sale from intake to quoting to fulfillment, navigating our panel of insurance providers. - Assist the Business Lead of Protect with the operational build-out of SoFi Protect products and services - Identify cross-sell opportunities and help close any coverage gaps. - Work collaboratively with cross-functional teams to help further enhance the business. We are a small team looking for someone who wants to be collaborative, identify problems, and have a voice in making the business better. What you’ll need: - 2+ years of experience selling Property & Casualty Insurance - Must have valid state active licenses in Property & Casualty or Personal Lines insurance - Excellent written and verbal communication skills - Proven interpersonal and sales skills with a track record of meeting or exceeding sales goals are highly preferred - Ability to multitask and stay organized to meet deadlines on time - Ability to analyze members' needs and provide a tailored insurance solution - Self-motivated, resourceful, and flexible with the ability to take an entrepreneurial approach to problem-solving Nice to have - Independent agency experience working with broad range of insurance carriers - Servicing experience - Life insurance experience ** Though not guaranteed, a successful agent has the potential to earn compensation ranging from $41k - $100k in their first year, with top performers able to reach above $100k, through a combination of hourly pay and incentive compensation. These numbers are subject to change based on the business and incentive strategy ** Compensation and Benefits The base pay range for this role is listed below. Final base pay offer will be determined based on individual factors such as the candidate’s experience, skills, and location. To view all of our comprehensive and competitive benefits, visit our Benefits at SoFi page! SoFi provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion (including religious dress and grooming practices), sex (including pregnancy, childbirth and related medical conditions, breastfeeding, and conditions related to breastfeeding), gender, gender identity, gender expression, national origin, ancestry, age (40 or over), physical or medical disability, medical condition, marital status, registered domestic partner status, sexual orientation, genetic information, military and/or veteran status, or any other basis prohibited by applicable state or federal law.The Company hires the best qualified candidate for the job, without regard to protected characteristics.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.New York applicants: Notice of Employee RightsSoFi is committed to an inclusive culture. As part of this commitment, SoFi offers reasonable accommodations to candidates with physical or mental disabilities. If you need accommodations to participate in the job application or interview process, please let your recruiter know or email accommodations@sofi.com.Due to insurance coverage issues, we are unable to accommodate remote work from Hawaii or Alaska at this time.Internal Employees If you are a current employee, do not apply here - please navigate to our Internal Job Board in Greenhouse to apply to our open roles.