Role Description Responsible for determining patient’s primary, secondary and tertiary insurance payer; verify patients’ benefits, eligibility, and seek authorization for services by contacting insurance companies; determine patient financial impact, if any, and inform them of any possible financial responsibility. - Responsible for the timely verification of medical insurance benefits for new patients, existing patients with changes in insurance, and reactivated patients. - Review and update patient accounts with insurance policy information and process requests accurately. - Notate each account with a clear summary of patient eligibility and insurance benefits received from the carrier. - Call government funded and commercial insurance companies to obtain prior authorizations or referrals. - Determine the correct Coordination of Benefits. - Complete verification requests confirming the correct network status through the company’s contracts with insurance payers to determine member benefit coverage. - Ensure all insurance, demographic and eligibility information is obtained, and entered in the system in an accurate manner. - Responsible for reviewing customer files for missing insurance information required to bill for services rendered. - Perform financial review on existing accounts to identify benefit issues. - Assist in maintaining inbound faxes, manuals, logs, and other documentation as required. - Complete insurance verification and summary of reimbursement, and liability forms. - Advise the Manager of verification trends and updates. - Meets individual, departmental, and company goals. - Occasionally, employees currently recognized as high performers through recent performance evaluations, or employees with current demonstrated productivity leadership compared to other employees on existing metrics may be asked to engage in overtime. - Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies. - Other job duties as assigned. Qualifications - High school diploma. - Medical terminology. - Two years’ experience in medical insurance plans or benefit verification practices. - Excellent written and verbal communication skills. - Ability to read and understand explanations of medical benefits. Benefits - Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. - Access to company sponsored wellness programs and mental health resources. - Paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents. - A competitive 401(k) plan with company match that vest immediately. - Financial planning services to help you secure your future. - Corporate discount programs for goods and services. - Generous paid time off, flexible work hours, and flexible work arrangement options. - Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement. - Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events. - A supportive work environment where everyone feels valued, and has a sense of belonging. - Participate in team-building activities, volunteer opportunities, and company-sponsored events. - Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way. - The starting hourly rate for this position is $18.28. - Hired candidates may be eligible to receive additional compensation for applicable experience and may also be eligible for bonuses and/or incentives. - Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location.

Role Description The Senior Insurance Authorization Specialist is responsible for supporting the Insurance Authorization Specialist I and Insurance Verification Specialists I while performing insurance authorization and verification for all patients scheduled for services at Ensemble Health Partners. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Insurance Authorization Specialist will work within the policies and processes as they are being performed across the entire organization. They'll support the Department's Supervisor with the daily workflow and distribution of workload, answer questions as the assigned subject matter experts, assist with mentoring and training new members of the team and report any system or process issues identified. This position pays between $18.65 - $23.50 based on experience. Job Responsibilities - Support the Insurance Authorization I staff in selecting accurate medical records for patient safety. - Obtain and validate demographic and insurance information. - Work with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment and ensure active/eligible coverage. - Assist the supervisor of the department with escalated issues and tracking system and process issues. - Assist in the training and mentoring of new hires. - Achieve >95% accuracy/quality while handling accounts, as measured by account audits. - Meet or exceed lower controls of average productivity amongst the team productivity standards. - Identify appropriate clinical records and submit authorization requests to the insurance company based on plan requirements for approval. - Act as the liaison between the ordering physician and insurance company to ensure all requirements to secure approval are identified and communicated. - Perform other duties as assigned. Qualifications - 1-3 years of experience in a similar role. - Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. - This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. - Experience with authorization or revenue cycle processes for physician-administered medications, injections, infusions, or genetic testing is preferred. Minimum Education - High School Diploma/GED Required. - Preferred: 2 Year/Associates Degree. Certifications - Certified Revenue Cycle Representative (CRCR) required within 9 months of hire - Company Paid. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. - Professional development opportunities, including earning a professional certification relevant to their field and tuition reimbursement. - Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Role Description Pumpkin is seeking an Insurance Agent who will report to the Supervisor, Customer Care. This friendly and motivated individual will be responsible for: - Researching and responding to insurance and non-insurance customer service inquiries over phone, email, text, chat, and social media. - Processing new customer enrollments, claims, and fulfillment tasks. - Providing exceptional customer care to customers across multiple communication channels in a timely and efficient manner. - Using problem-solving skills to solve customer issues, rectify poor experiences, and maintain positive relationships with customers. - Understanding company policies to ensure all claims and policies are compliant and/or knowing when to make an exception. - Answering customer questions and providing insurance and non-insurance related information. - Educating customers on our full product offerings and taking the initiative to help them buy additional coverage. - Using ticketing software, back office software, and other digital tools to manage and track performance. - Data entry for the above tasks. - Other duties as assigned. Qualifications - Prior experience in customer service role involving a high degree of customer interface. - Experience with ticketing software (Zendesk, Kustomer, Gladly, etc.). - Roll-up-your-sleeves mentality – does what it takes to get the job done. - Excellent verbal and written skills. - Administrative and computer skills. - Great attention to detail with every task. - Entrepreneurial interest and a passion for pets. - Existing Property & Casualty Insurance License. Benefits - Comprehensive full medical, dental and vision Insurance. - Basic Life Insurance at no cost to the employee. - Company paid short-term and long-term disability. - 12 weeks of 100% paid Parental Leave. - Health Savings Account (HSA). - Flexible Spending Accounts (FSA). - Retirement savings plan. - Personal Paid Time Off. - Paid holidays and company-wide Wellness Day off. - Paid time off to volunteer at nonprofit organizations. - Pet friendly office environment. - Commuter Benefits. - Group Pet Insurance. - On the job training and skills development. - Employee Assistance Program (EAP). Company Description Pumpkin, a subsidiary of IPH, offers premium accident & illness coverage and wellness plans for dogs and cats. Founded in 2020, our plans help families afford advanced diagnostics and treatments – from routine to critical care – so their pets can live longer, healthier lives. Our nationwide team of 200+ pairs pet health expertise with purpose-built technology to make care without compromise possible. Pumpkin’s deep understanding of the science and finance of veterinary care makes us an asset to our more than 10,000 nationwide veterinary professional partners and is one reason we are trusted by nine out of ten surveyed veterinarians. Our consumers love us, too. We are the #1-rated pet insurance brand on Google, have a 4.9-star rating on TrustPilot and are one of the fastest-growing pet health companies in the US. We have insured over 230,000 pets and paid more than $176 million in claims since launch. At Pumpkin, we believe pet parenthood is parenthood. While life with pets looks different than raising human children, the responsibility, commitment, and love run just as deep. That belief is why we exist: to help parents choose the best care for their loved ones – without compromise.

• Answering inbound phone helping individuals in understanding their coverages and selecting the right products, services • Making outbound calls to follow up with customers • Demonstrating compassion when assisting individuals • Building customer relationships, earning their loyalty and trust • Assist with workflow of applications for Medicare consideration answering questions as it relates to policies