Role Description IOU Billing Services in Montgomery, NY is looking for a detail-oriented Authorization Specialist to join their growing team! In this critical role, you'll be at the heart of the billing process, ensuring accurate and timely authorizations that keep operations running smoothly for Maryland Medicaid. If you thrive in a fast-paced environment and have a passion for precision, this is the opportunity for you. Responsibilities: - Process and manage prior authorizations and pre-certifications in a timely manner - Verify patient insurance eligibility and benefits to ensure coverage accuracy - Communicate with insurance carriers, providers, and clinical staff to obtain necessary approvals - Track and follow up on pending authorizations to prevent delays in service - Maintain accurate documentation of authorization requests, approvals, and denials - Review and interpret payer-specific authorization requirements and guidelines - Support the billing team by resolving authorization-related claim denials and discrepancies Qualifications - 2+ years of experience in medical billing, prior authorization, or insurance verification - Familiarity with ICD-10, CPT codes, and medical terminology - Experience working with insurance portals and electronic health record (EHR) systems - Strong attention to detail and ability to manage multiple tasks simultaneously - Excellent communication skills for interacting with payers, providers, and patients - Knowledge of payer authorization requirements and managed care guidelines - Proficiency in Icanotes EHR, Waystar, Inovalon, Availity Benefits - 401(k) - Employee discounts - Health insurance - Paid time off Company Description IOU Billing Services is a trusted billing and revenue cycle management company based in Montgomery, NY, dedicated to helping healthcare providers maximize reimbursements and streamline their billing processes. Our clients rely on us for our expertise, accuracy, and commitment to results. Our team enjoys a collaborative and supportive work environment where every employee plays a meaningful role in the company's success.

Role Description Drug Reimbursement Specialists are responsible for communicating and working with patients to identify methods of payments. Works directly with insurance companies, drug assistance programs, and medical billing staff to manage billing and reimbursements for injectable medications. - Be proactive in running appointment reports to determine which patients will need a new prior authorization one to two weeks in advance - Keep authorization alerts in both EPM and EHR up to date - Be knowledgeable of all insurance plans, benefits, and coverage - Be available in the clinic during injections to assist in any insurance changes, billing questions or new patients requiring new assistance programs or authorizations. - Be available for patients to contact for assistance fund billing questions, assistance program information, enrollment, and re-enrollment - Have the knowledge to obtain and provide a benefit investigation to the requesting physician - Have the customer service skills to communicate with the patient in a way that the elderly patient can understand - Have the knowledge of insurance plans and which plans require step therapy-step edits - Keep communication with drug representatives regarding insurance changes and authorization requirements - Keep up to date on which doses of medication can be used with which diagnosis - Be able to fill out prescription information on all authorization forms and understand which chart notes are sufficient for authorization requests - Task Dr’s and scribes to make corrections to chart notes that are not sufficient for authorization request - Keep up to date on prescriptions with the specialty pharmacy for free medications - Knowledge of which insurance plans require their patients medication to be shipped from the preferred specialty pharmacy instead of buy and bill medications - Coordinate shipments every month for free drug patients - Document when shipments will be delivered and make sure they are put into refrigeration in a timely manner. - Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service. - Performs other duties that may be necessary or in the best interest of the organization Qualifications - High school diploma or equivalent required Requirements - Previous medical office experience preferred; previous ophthalmic experience strongly preferred. - Professional in appearance and actions - Logical and Critical thinking skills - Customer-focused with excellent written, listening and verbal communication skills - Enjoys learning new technologies and systems - Detail oriented, professional attitude, reliable - Exhibits a positive attitude and is flexible in accepting work assignments and priorities - Meets attendance and tardiness expectations - Management and organizational skills to support the leadership of this function - Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations - Interpersonal skills to support customer service, functional, and team mate support need - Able to communicate effectively in English, both verbally and in writing - Ability for basic to intermediate problem solving, including mathematics - Basic to intermediate computer operation - Proficiency with Microsoft Excel, Word, and Outlook - Specialty knowledge of systems relating to job function - Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines Location/Work Environment - For remote team members, HIPAA compliant home office environment. - Ability to work in a remote environment while performing required duties and remaining patient focused. - Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.

Role Description UT Southwestern Medical Center has a new opportunity available for a Mid Coding Specialist III. Works under general supervision to perform advanced, accurate, and compliant coding of high-complexity surgical, procedural, and interventional specialties within a highly specialized academic medical center environment. The successful candidates' duties and responsibilities include: - Exercises independent judgment in the review of encounters characterized by high documentation variability, evolving intraoperative findings, multi-procedure operative cases, complex bundling and add-on logic, advanced payer nuance and regulatory interpretation, device-intensive procedures, validation of incident-to/split-shared services, and teaching physician documentation compliance. - Supports audit and denial escalation review and evaluates and resolves high-risk AI-assisted coding exceptions to ensure regulatory compliance, audit readiness, and optimal reimbursement. - Abstracts complex interventional, imaging-guided procedures, and diagnostic radiology reports in CodeAssist for CPT and ICD-10. - Has previous EPIC experience preferred. - Previous billing within Radiology is preferred. - Can do, highly motivated person who thrives within a metric-based environment. Shift: Flex, 8-hour days (To be discussed during the interview) Work from home: Applicant must live within Texas Qualifications - High School Diploma or GED Equivalent - 4 years of coding and/or billing experience Requirements - Experience coding high-complexity specialties and procedures requiring advanced bundling, modifier logic, and payer-specific rule application. - Progressive professional billing and coding experience and advanced technical proficiency. - Experience in academic medical centers, multi-specialty physician groups, or complex ambulatory environments. - Experience resolving charge review edits and back-end coding denials, including root-cause analysis and collaboration with providers and operational leaders. - Experience supporting revenue integrity initiatives, compliance auditing, clinical documentation improvement (CDI), or operational performance improvement efforts. - Experience working independently in a fast-paced, metric-driven, AI-enabled environment managing multiple work queues and shifting specialty assignments. Benefits - PPO medical plan, available day one at no cost for full-time employee-only coverage - 100% coverage for preventive healthcare - no copay - Paid Time Off, available day one - Retirement Programs through the Teacher Retirement System of Texas (TRS) - Paid Parental Leave Benefit - Wellness programs - Tuition Reimbursement - Public Service Loan Forgiveness (PSLF) Qualified Employer

Title: Specialist, Long Term Disability Team Lead Location: Charlotte, NC, US Workplace: Remote Department: Claims Job Description: Alternate Locations: Charlotte, NC (North Carolina); Omaha, NE (Nebraska); US All Regions; Work from Home Work Arrangement: Remote : Work at home employee residing outside of a commutable distance to an office location. Relocation assistance: is not available for this opportunity. Requisition #: 76281 The Role at a Glance We are excited to bring on a Specialist, Long Term Disability (LTD) Team Lead to our Group Protection Organization! As an LTD Team Lead, you will be responsible for managing highly complex Long-Term Disability claims for a variety of customers. These claims require in-depth initial and ongoing investigations, along with a deep understanding of the LTD contract and the evaluation of situational, financial and occupational elements. You will be responsible for managing an assigned caseload, while also supporting other LTD teams in providing technical guidance. The role is dynamic and fast paced, and is centered around teamwork and collaboration with peers, management and best practices. What you'll be doing - Manages a caseload of complex claims that cover a variety of eligibility types, policy provisions, and/or multiple diagnoses and claim factors. - Analyzes and processes claims by investigating and obtaining a wide range of complex information. Applies claims policies & procedures and appropriately engages intervention of internal/external resources to ensure fair, ethical, and timely management of assigned claims. - Utilizes judgment and knowledge of claims management to make decisions based on information available at the time of decision. - Analyzes and interprets complex coverage contracts to determine if eligibility is met. - Effectively manages time and desk organization; coaches others on techniques and systems for organizing/prioritizing work and staying current on caseload. - Identifies and resolves gaps in financial calculations and offsets when applicable, shares technical knowledge and approach on financial calculations with team members. - Interprets calculations correctly involving complex contract provisions and works with applicable resources as needed to resolve issues. - Understands and reinforces to junior team members the importance of correct and accurate eligibility decisions and benefit calculations. What we’re looking for Must-haves: • 4 Year/Bachelor's degree or 4 years of equivalent work experience in lieu of Bachelor's (Minimum Required) • 1 - 3+ years of Claims experience directly aligned to the specific responsibilities of this position (Required) Nice-to-haves: • Ability to perform under stress in cases of emergency, critical or hazardous situations. • Ability to work with others in a team environment. • Demonstrated solid relationship management skills with internal clients (e.g. management, peers and colleagues). • Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail. Application Deadline Applications will be accepted through Friday, July 24th, 2026, and theposting may come down earlier due to applicant volume. What’s it like to work here? At Lincoln Financial, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future. What’s in it for you: - Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes - Leadership development and virtual training opportunities - PTO/parental leave - Competitive 401K and employee benefits - Free financial counseling, health coaching and employee assistance program - Tuition assistance program - Work arrangements that work for you - Effective productivity/technology tools and training The pay range for this position is $55,700 - $100,200 with anticipated pay for new hires between the minimum and midpoint of the range and could vary above and below the listed range as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln’s total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln’s standard benefits package. About The Company Lincoln Financial (NYSE: LNC) helps people to confidently plan for their version of a successful future. We focus on identifying a clear path to financial security, with products including annuities, life insurance, group protection, and retirement plan services. With our 120-year track record of expertise and integrity, millions of customers trust our solutions and service to help put their goals in reach. Lincoln Financial Distributors, a broker-dealer, is the wholesale distribution organization of Lincoln Financial. Lincoln Financial is the marketing name for Lincoln Financial Corporation and its affiliates including The Lincoln National Life Insurance Company, Fort Wayne, IN, and Lincoln Life & Annuity Company of New York, Syracuse, NY. Lincoln Financial affiliates, their distributors, and their respective employees, representatives and/or insurance agents do not provide tax, accounting or legal advice. Lincoln is committed to creating an inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Follow us on Facebook, X, LinkedIn, Instagram, and YouTube. For the latest company news, visit our newsroom. Be Aware of Fraudulent Recruiting Activities If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters. Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at fraudhotline@lfg.com if you encounter a recruiter or see a job opportunity that seems suspicious. Additional Information This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities. Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial are considered property of Lincoln Financial and are not subject to payment of agency fees. Lincoln Financial ("Lincoln" or "the Company") is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex, age, national origin or disability. Opportunities throughout Lincoln are available to employees and applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling (866) 922-6543. This Employer Participates in E-Verify. See the E-Verify notices. Este Empleador Participa en E-Verify. Ver el E-Verify avisos.