Role Description REMOTE Medicare TeleSales SHIFT: Monday - Friday between hours of 8am - 5:30, with some weekends. Responsible for enrolling Medicare Members telephonically into the Medicare plan and for providing superior telephonic sales service for prospective Medicare members. Educate prospective/current members on Medicare products, benefits, enrollment rules and next steps in a clear and compliant manner. Qualifications - Current Health Insurance license required - any state; NY appointment required or must be obtained within 30 days of offer and maintained as a condition of continued employment in the role. - Must have Health Insurance License, preferably in NY. - Medicare Advantage Plan knowledge and experience administering. - AHIP certification. - At least 1 year of previous industry related experience in the area of marketing, sales or client services preferred. - Familiarity with operation including claim, customer service billing and enrollment preferred. - 2 – 3+ years of sales, telesales, call center or customer service experience, preferably in healthcare or Medicare (Required). - Additional years of related experience may be considered in lieu of degree (Required). - Working knowledge of Medicare products, CMS regulations, enrollment guidelines, compliant sales practices (Required). - Strong communication skills (verbal, written, interpersonal); ability to explain complex information in a clear, customer friendly manner to all audiences (Required). - Demonstrated ability to manage a high volume of calls while maintaining accuracy, professionalism and service quality (Required). - Proficiency with MS Office and experience working in automated systems, CRM platforms or enrollment tools (Required). - Strong organizational, time management, analytical and problem-solving skills (Required). - Ability to exercise sound judgement, maintain confidentiality, and handle sensitive member information appropriately (Required). - Bilingual skills, Spanish (Preferred). Requirements - Conduct telephonic sales presentations and enrollments in accordance with CMS requirements, state regulations and internal compliance standards. - Assess customer needs, answer questions accurately and recommend appropriate plan options based on eligibility and coverage requirements. - Document all member interactions, enrollment activity and follow up actions accurately in departmental systems and required platforms. - Maintain current knowledge of Medicare products, benefits, promotional campaigns, scripts, systems, and policy updates. - Support a positive customer experience by demonstrating professionalism, empathy, active listening and timely follow through. - Collaborate with Sales, Marketing, Product Management and operational teams to identify member concerns, process issues and improvement opportunities. - Meet established productivity, quality, compliance and customer service expectations. - Perform other duties and special projects as directed, assigned, or required. Benefits - Medical, dental & vision. - Critical Illness, Accident, and Hospital. - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available. - Life Insurance (Voluntary Life & AD&D for the employee and dependents). - Short and long-term disability. - Health Spending Account (HSA). - Transportation benefits. - Employee Assistance Program. - Time Off/Leave (PTO, Vacation or Sick Leave). Company Description We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

Role Description The individual in this position is part of the Central Insurance Verification (CIV) department and will be responsible for supporting functions that assist in creating and driving a culture of empathy, service excellence, and delivery of patient-centered care that impacts the patient experience across the UHealth System. Our Department thrives on teamwork and collaboration, and we know our employees achieve the greatest results when they are working together for a common goal - to provide care for our patients. If you enjoy working in a collaborative environment then we have a job for you! This position is responsible for the verification of insurance eligibility, benefits, and obtaining authorization for all insurance carriers for all outpatient office visits and procedures scheduled within the UHealth Systems. The person in this position must project a positive image of the organization and department. This position directly impacts patient care, patient satisfaction, and the revenue cycle. This individual reports directly to the Insurance Verification Supervisor. Core Responsibilities - Accounts are completed in a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient’s date of service. - Verification of eligibility and benefits via RTE in UChart, online insurance websites, telephone, or other sources of automated services. - Add and/or edit insurance information in UChart such as validating that the correct guarantor account and plan listed in patient’s account with accurate subscriber information, policy number, and claims address and plan order. - Completes the checklist and document co-pay. - Creates referral if applicable, “Benefit only” or “Preauthorization”, and documents benefits information: deductible, co-insurance, and out-of-pocket benefits. - Meets productivity standards for assigned work queue, QA goal of 95% or greater, and maintains WQ current at 14 days out with minimum daily pending visits. - Assists in educating and acts as a resource to patients, primary care, and specialty care practices within the UHealth system and externally. - Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization guidelines listed in UHealth Contract Summary. Submits all necessary documentation required to process authorization request. - Obtains authorization for both facility and provider for POS 22 and POS 19 clinics and provider only for POS 11 clinic locations. - Enters and attaches authorization information in referral section of UChart. - Communicates with patients and/or departments regarding authorization denial and/or re-direction of patients by health plan or PCP office. - Contact the Departments and/or patient when additional information is required of them or to alert regarding pending authorization status. - Participates in process improvement initiatives. Customer Service - Provides customer service and assists patients and other UHealth staff with insurance-related questions according to departmental standards. - Ensures that patients are aware of issues regarding their financial clearance and educated on the referral/authorization process. - Collaborates with Department and Patient Access teams to ensure that timely and concise communication occurs. - Ensures service recoveries and escalations are implemented with the guidance of their supervisors and according to departmental standards and guidelines. - Performs other duties as assigned. Qualifications - High School Diploma or equivalent. - Minimum 1 year of relevant work experience. - Computer literate (EPIC scheduling and registration application experience a plus). - Strong written and oral communication skills. - Able to work in a team environment. - Graceful under pressure and stressful situations. - Demonstrated knowledge of insurance, including authorization/referral guidelines and requirements. - Demonstrated ability to communicate effectively in written and verbal form. Bi-lingual knowledge a plus. - Demonstrated ability to communicate effectively with physicians, customers, teammates, and other staff. - Ability to interact and assist patients of all ages, cultural backgrounds, and with special needs, with a passion for providing excellent service and care. - Ability to work under a high level of stress with time constraints while maintaining composure and sensitivity to each patient’s specific needs. - Maintain a high level of diplomacy when dealing with stressful situations. - Is innovative, proactive, and resourceful in problem-solving. - Any appropriate combination of relevant education, experience, and/or certifications may be considered. Benefits - Competitive salaries. - Comprehensive benefits package including medical, dental, tuition remission, and more. Company Description UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the groundbreaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America, and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research, and patient care. We're the challenge you've been looking for.

• Review and resolution of outstanding insurance balances on hospital or physician patient accounts • Manage assigned insurance receivables to achieve business line expectations • Meet productivity standards as outlined by business line • Achieve minimum work quality scoring and accuracy on all accounts worked • Complete timely follow-up on assigned accounts • Ensure cash recovery goals are met • Ensure insurance accounts are resolved within 90 days of placement • Document actions taken and next steps for account resolution • Prepare appeals for payment to insurance company when appropriate • Maintain high quality account handling per client standards • Comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA

• Consult with clients to assess their insurance needs & recommend suitable coverage • Educate clients on policy options and help them make informed decisions • Manage the full sales cycle from prospecting to closing deals • Maintain relationships with clients and provide ongoing policy support • Stay up to date with industry trends and product knowledge