Medicare Specialist Jobs Near Me

We're hiring Insurance Verification Specialists for a fast-paced, high-impact healthcare office based in Northwest Houston. This is your chance to join a team where accuracy, efficiency, and ownership are valued - and career growth is real. 📍 Location: 7272 Pinemont Drive, Houston, TX 77040 🕒 Schedule: Flexible start times between 6:30 AM - 5:30 PM 💼 Type: Direct Hire 💰 Pay: $19.96 - $22.96/hr 📈 Remote Opportunity: Fully onsite training (2 weeks-90 days) → Remote based on performance ✨ What You'll Do: Verify insurance coverage for surgical procedures (20-30/day) Manually calculate patient responsibility (deductibles, co-insurance, EOBs) Liaise with insurance companies and internal teams Update patient EMRs with accurate benefits, co-pays, and pre-auths ✔️ Experience Required: 1+ year of facility-based insurance verification experience Strong skills calculating out-of-pocket costs manually Experience with Meditech or SSI preferred Confident navigating calls with payers and multiple systems Dependable, detail-oriented, and production-driven 🧾 Benefits: PTO starts accruing on Day 1 (usable after 90 days) Full medical, dental, vision, life insurance 401k with match (vesting after 2 years) 9 paid holidays (even within the first 90 days) Interviewing ASAP - Virtual interviews with the leadership team. Start Date: ~2 weeks from offer. Apply now and let's talk!

SPECIALTY CODER - REMOTE JOB IN TYLER *CHRISTUS Health System offers the Specialty Coder position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Responsible for maintaining current and high-quality ICD-10-CM and CPT coding of all professional services, including inpatient and outpatient Evaluation & Management (E/M), and operative/surgical procedures for multi-specialties. Via assigned work queues, verifies all charges and code assignments are correct. Accurately assigns appropriate modifiers to CPT codes. Communicates regularly with providers regarding coding concerns, missing/incomplete documentation, and coding policy updates. Responsible for assigned coding denial work queues. Requirements: · Minimum requirements: Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED · Minimum 2 years of multi-specialty physician operative and procedural services coding in an acute care hospital and/or outpatient clinic setting. *Specific experience in Cardiology, CV Surgery, Neurosurgery, or Urology is a plus. · Minimum 1 year of professional billing, claim denials, appeals, and/or revenue cycle work · Expert knowledge of CPT, ICD-10, HCPCS, and medical terminology · Strong knowledge of Medicare, Medicaid, and Commercial payers coding/billing guidelines and compliance regulations, including medical policy restrictions (LCDs and NCDs) · Exceptional written and verbal communication skills · Strong analytical and research skills, with extreme attention to detail · Proficient using multiple software applications, including: Excel, Word, and PowerPoint · Ability to prioritize assignments to meet deadlines · Ability to meet set productivity and quality standards · Able to work independently in a remote setting, as well as part of a team · EPIC and Meditech experience preferred · One of the following certifications is required: Certified Professional Coder (CPC) - AAPC Certified Coding Specialist (CCS) - AHIMA Certified Coding Associate (CCA) - AHIMA EEO is the law - click below for more information: ******************************************************************************************** We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at **************.

Description: The Release of Information (ROI) Specialist I within the VitalChart department of VRC Companies, LLC (“VRC”) is responsible for processing all assigned requests for medical records in a timely, efficient manner while ensuring accuracy and the highest quality service to healthcare clients. This position must, always, safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all Release of Information requests follow the request authorization, VRC, and healthcare facility policies as well as federal/state statutes, such as HIPAA. Additionally, this position is required to continually perform at a high quality and productivity level. This position interacts with the ROI Area Manager and/or ROI Team Leader regularly and will keep them informed of any concerns or issues regarding quality, connectivity, client concerns, and requestor issues that may impact VRC performance or service expectations. This position must conduct interpersonal relationships in a manner designed to project a positive image of VRC. Key Responsibilities / Essential Functions Accesses Release of Information requests and medical records for healthcare client(s) according to the specific procedure and security protocol for each client Completes Release of Information requests daily, prioritizing requests as needed based on turnaround timeframes and procedures of VRC and the service agreement between the healthcare facility and VRC validates requests and signed patient authorizations for compliance with HIPAA, other applicable federal and state statutes, and established procedure classifies request type correctly logs request into ROI software retrieves and uploads requested portions of the patient's medical chart (from electronic or physical repository) performs Quality Control checks to ensure accuracy of the release and to avoid breaches of Protected Health Information (PHI) checks for accurate invoicing and adjusts invoice as needed releases request to the valid requesting entity Rejects requests for records that are not HIPAA-compliant or otherwise valid For records pulled from a physical repository, returns records to proper location per VRC and healthcare client procedure Documents in ROI software all exceptions, communications, and other relevant information related to a request Alerts supervisor to any questionable or unusual requests or communications Alerts supervisor to any discovered or suspected breaches immediately Alerts supervisor to any issues that will delay the timely release of records Answers requestor inquiries about a request in an informative, respectful, efficient manner Stores all records and files properly and securely before leaving work area. Ensures adequate office supplies available to carry out tasks as soon as they arise Is available and knowledgeable to take on additional healthcare facilities or request types to assist during backlogs Understands that healthcare facility assignments (on-site and/or remote) are subject to change Carries out responsibilities in accordance with VRC and healthcare facility policies and procedures as well as HIPAA, state/federal regulations, and labor regulations Maintains confidentiality, security, and standards of ethics with all information Works with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner Alerts supervisor to any connectivity problems, malfunctions of software or computer/office equipment, or security risks in work environment Must adhere to all VRC policies and procedures. Completes required training within the allotted timeframe Creating invoices and billing materials to send to our clients Ensuing that client information details are kept up to date All other duties as assigned. Requirements Minimum Knowledge, Skills, Experience Required High School Diploma (GED) required; degree preferred Prior experience with ROI fulfillment preferred Demonstrated attention to detail Demonstrated ability to prioritize, organize, and meet deadlines Demonstrated documentation and communication skills Demonstrated ability to maintain productivity and quality performance Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred Prior experience with EHR/EMR platforms preferred Prior experience with Windows environment and Microsoft Office products Displays strong interpersonal skills with team members, clients, and requestors Must have strong computer skills and Microsoft Office skills Prior experience with operations of equipment such as printers, computers, fax machines, scanners, and microfilm reader/printers, etc. preferred Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time. Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable.

Classification: Non-exempt Reports to: Revenue Integrity Manager Summary/Overview The Release of Information Specialist will be responsible for reviewing, responding to, and tracking requests for medical and billing records. They will pull records in response to requests for pre-payment and post-payment review from private and government payors. They will also pull records in response to HIPAA authorizations, subpoenas, and patient/provider/agency requests. The Release of Information Specialist will ensure all requests for patient records (including subpoenas and HIPAA authorizations) comply with HIPAA regulations, patent privacy laws, and other applicable laws prior to accurately processing the request and distributing the requested information to patients, insurances, and/or attorneys. Success in this role will be demonstrated by responding to all requests accurately and promptly. Responsibilities Reviews and processes requests for medical and billing records from patients (and/or their family/POAs/personal representatives), attorneys, other healthcare providers/facilities, government agencies, etc. in a timely manner Verifies identity and confirms that the authorization is valid. Ensures the requesting party has a legal right to request a patient's medical information Ensure accuracy and completeness of medical records that are ultimately produced/distributed Coordinate with healthcare providers to obtain necessary medical documentation such as signatures or attestations Accesses and provides medical records upon request by the Company's legal department Sends appropriate communications in response to deficient records requests in compliance with Company policy Accesses and works within different EMR systems to pull medical records needed to respond to approved requests Communicates with the billing team to obtain billing records needed to respond to approved requests Using compliant/secure distribution methods, sends medical and billing records to appropriate parties in response to approved requests Appropriately names and stores all files created in furtherance of responding to a records request Tracks pertinent information regarding all requests for access and distribution of medical and billing records, ensuring timely processing and compliance with regulatory timeframes. Attends training sessions and remains aware of HIPAA and other patient privacy laws/regulations Complies with all laws/regulations and Company policy on HIPAA, patient privacy, personally identifiable information, and other relevant topics as required Other projects related to medical/billing records as assigned by the Revenue Integrity Manager or General Counsel Education & Experience Minimum 1 year of healthcare and medical records preferred Detail-oriented and able to maintain data accuracy Proficient in MS Office Proficient in EMR systems (DoctorNow, iTreat, Tissue Analytics, AltaPoint) High school diploma or equivalent Knowledge, Skills and Abilities Knowledge of medical terminology Knowledge of HIPAA requirements High attention to Detail Highly organized Operates with a sense of urgency Physical Requirements While performing the essential functions of this job, the following are required: Talk, hear, and communicate with people over the telephone; Use hands and fingers to operate a computer and telephone; View computer screens for extended periods of time; Sit at a desk for extended periods of time; and Regular, predictable attendance. Work Location Requirements The job duties and functions for this position are performed remotely with employee coming into the office on an as needed basis. Pay Rate: $19.00-22.00/hour Healing Partners is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, marital status, civil union status, national origin, ancestry, age, parental status, disabled status, veteran status, or any other legally protected classification, in accordance with applicable law.

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role The Release of Information Specialist supports secure and authorized exchange of protected health information at Charlie Health. This role will be responsible for ensuring Charlie Health complies with all state and federal privacy laws while providing access to care documentation. Our team is composed of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way. We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Maintains confidentiality and security with all protected information. Receives and processes requests for patient health information in accordance with company, state, and federal guidelines. Ensures seamless and secure access of protected health information. Establishes proficiency in Health Information Management (HIM) electronic document management (EDM) systems. Answers calls to the medical records department and responds to voice messages. Retrieves electronic communication, faxes, opening postal mail, and data entry. Responds to internal requests via email, slack, or any other communication platform. Documents inquiries in the requests for information log and track steps of the process through completion. Determines validity from documentation provided on authorizations, subpoenas, depositions, affidavits, power attorney directives, short term disability insurance, workers compensation, health care providers, disability determination services, state protective services, regulatory oversight agencies and any other sources. Sends invalid request notifications as needed. Retrieves correct patient information from the electronic medical record (EMR) and other record sources. Verifies correct patient information and dates of services on all documents before releasing. Provides records in the requested format. Acts in an informative role within the organization regarding general release of information questions and assists with developmental training. Documents accounting of disclosures not requiring patient authorization. Scans or uploads documents and correspondence in EMR. Communicates feedback, new ideas, fluctuating volumes, difficulties, or concerns to the HIM Director. Participates in teams to advance operations, initiatives, and performance improvement. Assists with other administrative duties or responsibilities as evident or required. Requirements Associates Degree required or equivalent in release of information experience. 1 year experience in a behavioral health medical records department, or related fields. Experience in a healthcare setting is highly desirable. Experienced use of email, phones, fax, copiers, MS office, and other business applications. Ability to prioritize multiple tasks and respond to requests in a fast-paced environment. Ability to maintain strict confidentiality. Extreme attention to detail as it relates to accurate information for medical records. Professional verbal and written communication skills in the English language. Work authorized in the United States and native or bilingual English proficiency Familiarity with and willingness to use cloud-based communication software-Google Suite, Slack, Zoom, Dropbox, Salesforce-in addition to EMR and survey software on a daily basis. Please note that members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule. Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. The total target base compensation for this role will be between $44,000 and $60,000 per year at the commencement of employment. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. RemoteOur Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Job Description Credit Solutions of Lexington, KY is seeking to hire a full-time Insurance Verification and Billing Follow Up Specialist. If you have experience in healthcare billing and finance and want a career where you can actually make a difference, apply today! Our employees enjoy a competitive wage plus benefits! Our benefits include paid time off, holiday pay, company-paid life insurance, a 401k plan, health benefits, vision, and dental benefits. Additionally, we offer flexible schedules and work from home opportunities. ABOUT CREDIT SOLUTIONS Founded in 2003, Credit Solutions provides tailored Extended Business Office (EBO) Solutions as well as a full range of Bad Debt Recovery and Account Resolution service throughout the United States. With a pledge of excellence, we strive to allocate the best resources, giving our talented staff of professionals the tools needed to achieve results for our clientele. At Credit Solutions, we believe our employees are our most valuable asset. In fact, we attribute our success as a company on our ability to recruit, hire, and maintain a positive and productive workforce. A happy employee is a productive employee and our benefits reflect how much we care. Additionally, we provide numerous employee appreciation activities and a referral bonus program. Join our dynamic team and find out why our employees voted us the "Best Call Centers to Work For" from 2018-2024! JOB SUMMARY The Insurance Verification Specialist is responsible for verifying patient insurance coverage and ensuring the accuracy of insurance information. This role requires attention to detail, strong communication skills, and the ability to interact effectively with insurance companies, patients, and healthcare providers. QUALIFICATIONS High school diploma or equivalent; associate's degree or relevant certification preferred. Minimum of 2 years of experience in medical insurance verification or a related field. Knowledge of insurance plans, policies, and procedures. Proficiency in using EHR systems and insurance verification software. Proficiency in Epic hospital and physician Billing system Proficiency in Zoom and other virtual meeting platforms Strong organizational and multitasking skills. Excellent verbal and written communication skills. Ability to work independently and as part of a team. Detail-oriented with a high level of accuracy. Do you have a desire to help others and make a difference in the community? Are you a team player? Do you have professional communication skills? Can you provide great customer service over the phone? Are you an empathetic active listener? Do you have a positive can-do attitude? If so, you may be perfect for this position! ARE YOU READY TO JOIN OUR TEAM? If you feel you would be right for this position, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!

The Revenue Specialist will join the corporate treasury department responsible for corporate accounting, treasury, financial planning and tax functions of Dodge & Cox, Dodge & Cox Worldwide Investments Ltd (UK subsidiary), Dodge & Cox Shanghai (China subsidiary) and Dodge & Cox Europe (German subsidiary). The corporate treasury department works closely with Dodge & Cox's leadership on oversight of corporate cash management, revenues and expenses, internal controls, audits and reporting. Key responsibilities include: Manage and troubleshoot the billing system which automates the calculation of investment management fees Review new or amended investment management contracts for alignment with standardized fee methodologies and configure the billing terms within the billing system Prepare quarterly management fee accruals for separate accounts and mutual funds in accordance with GAAP Support the team by assisting in the preparation of deliverables for various audits (SOC1, Adviser Audit, & Internal) Coordinate business processes related to new fee arrangements; analyze various fee scenarios for clients Monitor aging receivables and communicate with clients on fee collections Develop and meet internal reporting needs; prepare revenue analytics and additional analysis as needed Book D&C mutual fund management fee revenue in the corporate accounting system Maintain separate account management fee procedure, policy, and guideline documentation Research and resolve invoicing inquiries from clients Qualifications Dodge & Cox targets candidates with high levels of academic and professional achievement and leadership ability. B.A. or B.S. degree; 2-3 years of relevant work experience Experience with specialized accounting software applications (Redi2 or WorkDay is a plus) Proficiency with Microsoft Excel and ability to organize and analyze big datasets Adept at leveraging automation; quick learner Experience with audits Interest and/or experience in the investment management industry Exceptional organizational skills and strong attention to detail Ability to work effectively in a team-oriented environment Strong analytical, problem-solving, project management and communication skills Requirements: Dodge & Cox operates in a 4 and 1 Hybrid model. All employees are required to be in their assigned office as noted in the job posting Monday - Thursday each week, with the option to work remotely on Friday. This policy is subject to change. The salary range for this position is $90k - $110k. The listed pay scale denotes only the pay range of the base salary and does not include discretionary bonus compensation, which may make up an important portion of the total remuneration. Dodge & Cox encourages applicants to consider the value of the many competitive benefits it offers, including coverage of 100% of all healthcare premiums for employees and their families and fully funding a retirement plan at 25% of the total compensation to the IRS limit. Dodge & Cox also provides additional benefits such as commuter, health & wellness, backup care, matching gift, employee assistance, and life and disability insurance. The listed pay scale reflects the base salary Dodge & Cox reasonably expects to pay for this position and is not a reflection of the highest and lowest base salary of any current Dodge & Cox employee. Actual base salary will be based on factors such as the candidate's prior relevant experience (including within and external to Dodge & Cox, as applicable), education, skills, and knowledge. The job description above is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. It is the Company's policy to provide equal opportunity to all persons without regard to race, color, religion, sex, pregnancy, marital or domestic partner status, sexual orientation, gender identity or expression, age, ancestry, national origin, disability, or medical condition, as defined in state and federal laws. This policy covers all aspects of employment including, but not limited to, recruitment, selection, training, promotion, transfer, compensation, demotion, and termination. By applying for a position with Dodge & Cox, you acknowledge that you have read our EEO Policy All Dodge & Cox employees must adhere to the Firm's security policies and Code of Ethics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

strong Description/strongbr/pstrong MedScope/strong, a division of Medical Guardian, is a rising leader in the medical alarm industry, seeking a seasoned strong Revenue Cycle Specialist/strong with health insurance claims experience to fill a role in the Revenue Cycle Department. The Revenue Cycle Specialist is responsible for managing an assigned book of business consisting of Medicaid payers to ensure accurate and timely reimbursement for healthcare services. This role focuses on claim follow-up, denial resolution, payer correspondence, and ensuring compliance with payer-specific guidelines. The specialist serves as the primary point of contact for assigned payer accounts and works to resolve outstanding balances through proactive follow-up and problem-solving. Ability to analyze data and think critically is a must. /ppstrong This is a full-time, remote position requiring a daily schedule of 9:00am-5:00pm EST. /strong/ppstrong Permanent residency in one of the following states is required: /strong PA, DE, GA, MI, NC, TX, NJ, and FL only. /ppstrong Hourly rate: /strong$22/hour/ppstrong Key Duties and Responsibilities:/strong/pul li Manage a defined book of insurance payers and serve as the subject matter expert for each. /li li Meet or exceed monthly productivity and resolution objectives, and KPIs centered around collection percentage goals. /li li Conduct timely follow-up on outstanding claims, ensuring resolution and reimbursement within established payer timelines. /li li Review, analyze, and appeal denied or underpaid claims in accordance with payer policies and contractual obligations. /li li Identify trends in denials and underpayments and escalate issues to management. /li li Communicate with insurance companies via phone, payer portals, or written correspondence to resolve claim issues. /li li Ensure all claim activity is accurately documented within the billing system for audit and tracking purposes. /li li Monitor payer-specific timely filing limits and authorization processes to ensure compliance. /li li Prepare and submit corrected claims or claim reconsiderations as needed. /li li Stay updated on payer guidelines, filing terms, authorization workflows, and general rules. /li li Limited phone work exclusively dealing with care managers; minimal to no direct interaction with patients or consumers. /li /ulbr/br/strong Requirements/strongbr/ul li Proficiency in the Microsoft Office suite of applications required. /li li Strong analytical skills. /li li Strong communication with excellent oral and written communication skills. /li li Critical thinking - ability to decipher when things are missing or incorrect. /li li Accurate and organized with the ability to multitask. /li li Friendly phone demeanor - will be in direct contact with care managers. /li li Self-starter who can work in a remote environment. Must be able to work both independently and collaboratively on a small team and be accustomed to working with deadlines. /li li Punctual and reliable with a professional appearance and demeanor. /li /ulp/ppstrong Desired Experience:/strong/pul li High school diploma or equivalent required; associate or bachelor's degree preferred. /li li2+ years of experience in medical billing or revenue cycle management, with emphasis on insurance follow-up or A/R. /li li Experience with Medicaid and Managed Care Organization a plus. /li li Strong understanding of claim lifecycles, payer policies, and denial management. /li li Familiarity Salesforce and/or Waystar is a plus. /li li Ability to work independently and manage time effectively within a high-volume environment. /li /ulp/pbr/br/strong Benefits/strongbr/ul li Health Care Plan (Medical, Dental amp; Vision)/li li Paid Time Off (Vacation amp; Public Holidays)/li li Short Term amp; Long Term Disability/li li Retirement Plan (401k)/li /ul

Job Type: Regular Scheduled Hours: 40 Reports to Revenue Cycle Manager and/or Administrator of Revenue Cycle Services, the Revenue Cycle Specialist is primarily responsible for receiving and responding to patients' phone calls within one (1) business day, working A/R reports and Explanations of Benefits from insurance companies. They are responsible for working correspondence, refiling unpaid or incorrectly paid claims, and accurately updating or correcting patient demographic or profile information. They are responsible for the filing of claims to all insurance companies, analyzing and responding to refund requests as indicated by the insurance companies, and the entry and editing of all charges. Job Description: Job Title: Revenue Cycle Specialist I BENEFITS: Work from Home Eligible after training (Must live within 1 hr. from Erlanger, Kentucky to be considered) Equipment Provided. Paid Time Off Medical, Dental, and Vision 403b with Match Opportunity for Growth DUTIES AND RESPONSIBILITIES: Provide information and resolve issues from patients/family members and insurance companies. Work Adjustment, Zero Pay, and A/R aging report and correspondence daily. Follow-up with the insurance company as needed regarding payment/non-payment of claims. Refile claims to secondary insurance when claims have not been received or processed. Submit activity log, audit journals, EOBs, and Account Follow-Up Logs daily. Communicate in an effective and professional manner with payors, patients/family members, physicians, support employees, co-workers, and management. Answer incoming calls in a professional and courteous manner within 3 rings. Return all voicemail messages within one (1) business day. Update patient demographic and profile information provided by patient, office, or insurance company. Enter Financial Hardship information and apply the appropriate and correct adjustments to Practice Management system. Make corresponding adjustments to the patient's account. Responsible for NSF postings, letters, follow-up, tracking of checks and making necessary adjustments to patient's account. File claims to various insurance companies. Edit and entry of all claims including office, hospital, nursing home. Payment posting of patient payments, medical records and Disability payments. Adhere to company and system processes, post payments to appropriate accounts, with accurate documentation and balancing. Respond to refund requests from insurance companies in a timely manner. Analyze overpayments as marked by payment posters to determine if a refund is due. Keep an accurate log of refunds for month-end reporting. Audit statements and make appropriate corrections. Process weekly reports. Responsible for sending out and tracking patient statements and collection letters. Set up payment plans or payment arrangements. Work all correspondence/C15/C11 reports. Refer accounts to collection agencies. Post agency payments - verify commissions. Perform claims follow-up. Responsible for sending medical records requests to offices and noting the accounts. Responsible for coordinating the pulling, copying and mailing of EOBs for primary and secondary claim refiles. Responsible for logging bad addresses and sending notification to the offices. Responsible for Working Claim Edit (Reg) WQ Responsible for Working Errors in Quadax Keeping Track of Envelopes Other Duties as Assigned OTHER REQUIRED SKILLS AND KNOWLEDGE: Knowledge of medical insurance, managed care plans, CPT, ICD9 and ICD10 codes. Ability to read and understand Explanations of Benefits from all insurance companies. Knowledge of FDCPA and Bankruptcy. Detailed and thorough work on special projects as assigned. EDUCATION: Minimum: High School Diploma/G.E.D. Knowledge of Microsoft Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills. YEARS OF EXPERIENCE: Less than 3 years of experience in a medical practice, customer service or revenue cycle department. LICENSES AND CERTIFICATIONS: CPC required for designated trainer positions as well as those involved in coding directly from the chart. Preferred: CPC FLSA Status: Non-Exempt Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other.

divpb About the Role/b/pp/pp Responsible for timely updating and adding current payer plan to the patient's chart utilizing all available electronic tools, including making outgoing telephone calls to both patients and payers' plans. /pp/ppb What You'll Be Doing/b/pullip Via electronic tools, update all requisite payer plan information, including subscriber and patient ID #, within the Urology of Indiana practice management system prior to the patient appointment. /p/lilip Daily, run and work the Eligibility queue report per assigned locations. /p/lilip Monthly, run a patient aging report and review accounts to identify, add, and/or update any missing or incorrect insurance. /p/lilip If previous claims were filed with an invalid payer plan, add the correct payer; change the status and owner on the claim, and rebill all of the claims. /p/lilip Apply patient alert on the chart “Front desk- please task new insurance card”. /p/lilip When changing insurance in iSALUS, if the appointment type is at a hospital (inpatient/outpatient), send via email to the surgery scheduler or precert team member to advise them of the change. /p/lilip In the event eligibility cannot be confirmed via available tools, contact (via telephone) the patient. /p/lilip If no response from patient within three business days, send the patient an insurance information letter and apply an alert to the patient's chart (prompts front office to task a new insurance card. ) Expire the alert in 7 days. /p/lilip If the Medicare plan is on the patient chart, verify or add the new MBI number. /p/lilip Handles inbound calls from locations, patients, etc. , with general insurance questions. /p/lilip Back up to charge entry and payment posters. /p/lilip Responsible for mail distribution, faxes, copies, scanning, and the E-doc process. /p/lilip Provide benefits estimates for patients' procedures. /p/lilip Other duties as assigned/p/li/ulp/ppb What We Expect from You/b/pp/pp To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. /pullip Knowledge of medical terminology/p/lilip Understanding how to interpret commercial payers, Medicaid, and Medicare's benefits and eligibility information on all of the respective payers' websites. /p/lilip Good organization and strong follow-through skills. /p/lilip Ability to respond to questions in a tactful and professional manner. /p/lilip Detail-oriented- must pay attention to details. /p/lilip Ability to maintain confidentiality. /p/li/ulp/ppb Education and/or Experience/b/pp/pp High school diploma or three to five years related experience and/or training in the collection of medical accounts; or equivalent combination of education and experience. /pp/pp Knowledge of insurance regulations and procedures. Experience with CPT-4 and ICD-10 is preferred. /pp/ppb Language Skills /b/pp/pp Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine correspondence. Ability to speak effectively before individuals or groups of people. /pp/ppb Mathematical Skills /b /pp/pp Ability to calculate basic figures and amounts. Ability to apply concepts of basic algebra and geometry. /pp/ppb Reasoning Ability /b/pp/pp Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. /pp/ppb Computer Skills/b/pp/pp To perform this job successfully, an individual should have knowledge of basic computer software. /pp/ppb Other Skills and Abilities /b /pp/pp Strong written and oral communication skills/pp Demonstrate a positive, cooperative, and professional attitude towards co-workers and the public. /pp/ppb Physical Demands /b/pp/pp The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. /pp/pp While performing the duties of this job, the employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel, reach with hands and arms, stoop, kneel, crouch, or crawl, and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. /pp/ppb Work Environment/b/pp/pp This job operates in a remote work environment. This role routinely uses standard office equipment such as computers and phones. /pp/ppb Other Duties/b/pp/pp Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. /pp/ppb Position Type/Expected Hours of Work/b/pp/pp This is a full-time position. Days and hours of work are Monday through Friday, approximately 8 hours per workday. Occasional evening and weekend work may be required as job duties demand. /pp style="text-align:inherit"/pp style="text-align:inherit"/ppbu What We are Offer You/u/b/pp At U. S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters”/pp/ph1span class="emphasis-3"bCompassion/b/span/h1pMake Someone's Day/ph1span class="emphasis-3"bCollaboration/b/span/h1pAchieve Possibilities Together/ph1span class="emphasis-3"bRespect/b/span/h1pTreat people with dignity/ph1span class="emphasis-3"bAccountability/b/span/h1pDo the right thing/pp/pp Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more. /pp/ppbu About US Urology Partners/u/b/ppU. S. Urology Partners is one of the nation's largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. span Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U. S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. /span spanU. S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy. /span/pp/pp/pp/pp/pp/pp style="text-align:left"iU. S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. /i/p/div

At Globe Life, we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. Our thriving and dynamic community offers ample room for professional development, increased earning potential, and a secure work environment. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to help Make Tomorrow Better. Role Overview: Could you be our next QAC Representative? Globe Life is looking for a QAC Representative to join the team! In this role, you will be responsible for verifying life and health insurance applications directly with potential customers. It is a vital part of our Company's New Business and Underwriting process. The information you verify and gather directly relates to determining whether the Company will decline or issue a policy. This is a remote / work from home position. What You Will Do: Maneuver within the Quality Assurance database and conduct appropriate assessments on what additional information or verification is needed. Ability to handle inbound/outbound calls to potential customers - verify and document required information to finalize applications for underwriting assessment. Accurately document the information. Properly document non-contact attempts within the Quality Assurance Database. Be able to properly explain the application process to potential customers. Accurately and thoroughly complete additional paperwork when needed. Maintain appropriate levels of communication with supervision regarding actions taken within the Quality Assurance database. Transfer calls to appropriate department as needed. Successfully meet the minimum expectation for departmental key performance indicators (KPIs). Be enlisted in special projects that encompass making numerous outbound calls, recording activities requested by/from customers, etc. What You Can Bring: Minimum typing requirement of 35 wpm Excellent oral and written communication Superior customer service skills required - friendly, efficient, good listener Proficient use of the computer and keyboard functions Microsoft Office systems (including but not limited to Outlook, Teams, and Word) Ability to multi-task and work within a highly structured schedule Excellent organization and time management skills Must be detail-oriented Applicable To All Employees of Globe Life Family of Companies: Reliable and predictable attendance of your assigned shift Ability to work full time and/or part time based on the position specifications Desired Skills: Bilingual English and/or Spanish Preferred Knowledge of medical terminology and spelling a plus Have a desire to learn and grow within the Company How Globe Life Will Support You: Looking to continue your career in an environment that values your contribution and invests in your growth? We've curated a benefits package that helps to ensure that you don't just work, but thrive at Globe Life: Competitive compensation designed to reflect your expertise and contribution. Comprehensive health, dental, and vision insurance plans because your well-being is fundamental to your performance. Robust life insurance benefits and retirement plans, including company-matched 401k and pension plan. Paid holidays and time off to support a healthy work-life balance. Parental leave to help our employees welcome their new additions. Subsidized all-in-one subscriptions to support your fitness, mindfulness, nutrition, and sleep goals. Company-paid counseling for assistance with mental health, stress management, and work-life balance. Continued education reimbursement eligibility and company-paid FLMI and ICA courses to grow your career. Discounted Texas Rangers tickets for a proud visit to Globe Life Field. Opportunity awaits! Invest in your professional legacy, realize your path, and see the direct impact you can make in a workplace that celebrates and harnesses your unique talents and perspectives to their fullest potential. At Globe Life, your voice matters! Pay Range $14 - $18 per hour (Depending on Experience)

Health Insurance Verification Specialist | Atos Medical-US | New Berlin, WI This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed. Join a growing company with a strong purpose! Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide. About Atos Medical Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. Atos Medical has an immediate opening for a Health Insurance Verification Specialist in the Insurance Department. Summary The Health Insurance Verification Specialist will support Atos Medical's mission to provide a better quality of life for laryngectomy customers by assisting with the attainment of our products through the insurance verification process and reimbursement cycle. A successful Health Insurance Verification Specialist in our company uses client information and insurance management knowledge to perform insurance verifications, authorizations, pre-certifications, and negotiations. The Health Insurance Verification Specialist will analyze and offer advice to our customers regarding insurance matters to ensure a smooth order process workflow. They will also interact and advise our internal team members on schedules, decisions, and potential issues from the Insurance payers. Essential Functions Act as an advocate for our customers in relation to insurance benefit verification. Obtain and secure authorization, or pre-certifications required for patients to acquire Atos Medical products. Verifies the accuracy and completeness of patient account information. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers. Follows up with physician offices, customers and third-party payers to complete the pre-certification process. Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity. Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. Answer incoming calls from insurance companies and customers and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner. Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends. Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating peer to peer if required by insurance payer. Notifies patient accounts staff/patients of insurance coverage lapses, and self-pay patient status. May notify customer support team if authorization/certification is denied. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Inquire about gap exception waiver from out of network insurance payers. Educate medical case reviewers at Insurance Companies about diagnosis and medical necessity of Atos Medical products. Obtaining single case agreements when requesting an initial authorization with out of network providers. This process may entail the negotiation of pricing and fees and will require knowledge of internal fee schedules, out of network benefits, and claims information. Complete all Insurance Escalation requests as assigned and within department guidelines for turn around time. Maintains reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Other duties as assigned by the management team. Basic Qualifications High School Diploma or G.E.D Experience in customer service in a health care related industry. Preferred Qualifications 2+ years of experience with medical insurance verification background Licenses/Certifications: Medical coding and billing certifications preferred Experience with following software preferred: Salesforce, SAP, Brightree, Adobe Acrobat Knowledge Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Additional Benefits Flexible work schedules with summer hours Market-aligned pay 401k dollar-for-dollar matching up to 6% with immediate vesting Comprehensive benefit plan offers Flexible Spending Account (FSA) Health Savings Account (HSA) with employer contributions Life Insurance, Short-term and Long-term Disability Paid Paternity Leave Volunteer time off Employee Assistance Program Wellness Resources Training and Development Tuition Reimbursement Atos Medical, Inc. is an Equal Opportunity/Affirmative Action Employer. Our Affirmative Action Plan is available upon request at ************. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Equal Opportunity Employer Veterans/Disabled. To request reasonable accommodation to participate in the job application, please contact ************. Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox , Provox Life™ and Tracoe. We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business. Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma. Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S 56326 #LI-AT

The world's largest organizations rely on Evident to help them protect their business and brand from third-party risk. Our game-changing technology - which enables the secure exchange of risk data like proof of insurance, identity, business registration, and other information - helps our customers verify that their partners have all of the required credentials to do business. In today's new remote-first, ever-changing regulatory environment, our secure, privacy-first enterprise platform, accessible via web portal or API, provides a highly scalable and configurable solution to manage communications, storage, decisioning, and ongoing monitoring of credentials. Evident is a VC-backed technology startup, headquartered in Atlanta, GA. Learn more at evidentid.com. Job Description Evident ID is hiring an Insurance Verification Specialist. We are seeking an Insurance Verification Specialist for our business insurance field. The role involves verifying information via phone calls to ensure accuracy and compliance with insurance policies. Working hours are from 9 am to 5 pm ET, and the position can be fully remote. The total working hours for this position are 32 hours per week, to be determined based on the specific working days. Offered salary is $15 per hour.Responsibilities Conducting phone calls to verify information provided by clients or other relevant parties, ensuring accuracy and compliance with insurance policies Establishing and nurturing long-term working relationships with insurance agencies, brokers, and other stakeholders to facilitate smooth information verification processes Performing data entry tasks accurately and efficiently to record verified information into databases or management systems Providing reports to managers regarding the progress of verification tasks, highlighting any discrepancies or issues encountered during the process Taking ownership of assigned verification projects while collaborating effectively with team members to ensure seamless workflow and achievement of team goals Maintaining a high level of professionalism during phone interactions to uphold the company's reputation and foster positive relationships with clients and partners The Insurance Verification Specialist will report to the Team Lead or Manager within the Business Insurance Department Requirements Minimum 3 year of experience in business insurance, insurance agent license preferred Familiarity with Certificates of Insurance (COI) At least 2 years of experience in phone verification or customer service roles, ensuring effective issue resolution Proficiency in English communication with a strong emphasis on clarity and professionalism Additional fluency in another language is desirable, enhancing customer interaction capabilities Knowledge of Zendesk is advantageous for efficient support management Adaptability to evolving industry standards and a proactive approach to continuous learning are expected for optimal performance Demonstrating reliability and consistency in attendance to ensure coverage during designated working hours and contribute to the team's overall efficiency. Why Evident? • Our team solves a crucial problem with huge business potential together, and we are able to see exactly how our contribution affects customers!• Recently named one of Atlanta's Coolest Companies & 50 on Fire by Atlanta Inno• Recently named one of the Top 10 Fastest Growing Companies in Atlanta & one of the Best Places to Work in Atlanta by Atlanta Business Chronicle

Dental Revenue Cycle Specialist Summary:The Dental Revenue Cycle Specialist is responsible for ensuring accurate and timely billing of accounts, accuracy of account balances and coordinating with other billing team members to ensure billing accuracy. Majority of the time, this position will focus on denied claims. Pay Range: $18.56-$24.00/hour (Based on experience) This is a remote position and we are seeking candidates who reside in Pacific and Mountain time zones. CHOICE Healthcare Services is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities. Every day, thousands of people trust us to provide their families with healthy, radiant smiles. What we provide to you as a CHOICE teammate: Care for your wellbeing and work-life balance Professional and personal growth Experienced leadership support Fun and supportive team dynamic with events and celebrations Comprehensive benefit package Responsibilities Essential Duties and Responsibilities: include the following. Other duties may be assigned. Ensure daily billing and adjustments are accurate and timely Ability to read insurance benefits and explanation of benefits (EOB) Process pre-authorizations with HMO insurances & Denti-Cal Review outstanding claims, follow up on aging for both patient and insurance balances Send statements with outstanding balances to patient Process appeals/denials with insurances Assists front office staff at practices with insurance and account questions as needed Verify insurance eligibility and benefits for patients Cross trained in other aspects of the department as assigned Ability to work in fast paced environment Willingness to cover other duties as assigned Qualifications Education/Experience: High school diploma or equivalent Medical Billing & Coding Certificate, preferred Minimum of 1 years of experience of working medical/dental claim denials and appeals Experience working in a dental billing practice or similar environment Experience working with EOBs and healthcare accounts receivables

Full-time Description We are seeking a detail-oriented and analytical Contracting and Revenue Specialist to oversee funder contract billing and ensure accurate revenue recognition in compliance with accounting standards. The position creates a bridge between contracting and accounting processes. Tasks include posting deposits, recognizing revenue, maintaining contract schedules and managing AR balances. The ideal candidate will possess 5+ years of relevant work experience and brings strong knowledge of financial processes, revenue accounting and a strong understanding of standard contract terms. This is a hybrid position requiring a combination of in office work and remote work. Position: Hiring for full-time positions Compensation: Compensation will be negotiated depending on experience ESSENTIAL DUTIES AND RESPONSIBILITIES: Revenue Recognition & Reporting Analyze customer contracts to extract billing and revenue-related terms. Ensure revenue is recognized in accordance with GAAP. Maintain accurate and timely financial contract records Accounts Receivable (AR) Maintenance Collect payments and record them in the accounting system. Generate and issue funder AR invoices Monitor AR aging reports, follow up on outstanding receivables, and manage collection efforts. Reconcile customer accounts and resolve discrepancies or payment issues. Cross-Functional Support Collaborate with Leadership and Clinical Program staff to review contracts and determine appropriate revenue treatment. Identify and recommend process improvements to optimize billing and collection cycles. Provide financial data and insights to support forecasting and reporting. General accounting tasks as assigned. Requirements MINIMUM QUALIFICATIONS: 3+ Years of Accounting Experience Associate's degree in Accounting or Business Must have a valid Oregon Driver's License Must pass a required criminal records background check Must adhere to the agency's non-discrimination policies Must be able to work independently and in a team setting Effective 03/28/2025- Willamette Family has a required 12 month waiting period before former clients can apply for employment. This policy is in place to ensure professional boundaries and avoid potential conflicts of interest. Your response will not impact your eligibility beyond this requirement, and all information will remain confidential. REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Knowledge, skills, and abilities demonstrating competence through experience or education in the following essential job functions: Must have at least an intermediate understanding of Microsoft Excel. Knowledge of Office 365 including Outlook, SharePoint, and Microsoft Teams. Data entry skills set including the ability to adapt to various software programs. A high level of data entry accuracy is required. Has the flexibility to respond to changing needs and environments. Has the ability and willingness to work collaboratively. Demonstrates effective communication and problem-solving skills. Strong attention to detail skills are necessary. Effectively manages time and meets deadlines. Demonstrates a professional level of written and verbal communication.

Insurance Verification Specialist| $19.96-$22.96 | Monday – Friday 8am to 5pm | Temp to HireWhat Matters Most Competitive Pay of $19.96-$22.96 per hour Schedule: Monday – Friday 8am to 5pm Location: Northwest Houston, Texas Temporary-to-hire opportunity with career growth and stability Remote position after 4 weeks of onsite training Weekly Pay with direct deposit or pay card When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program Job DescriptionOne of the premier Orthopedics and Pain Management clinics is seeking an Insurance Verification Specialist that will verify patients’ coverage for surgical procedures and create cost estimates. Submit your resume and see what opportunities are available for you! Responsibilities: Assists front office with verification questions or concerns Resolves any coverage issues and update patient EMR Enters insurance coverage (co-payments, deductibles, etc.) accurately into patient EMR Serves as a liaison between the patient, facility, physicians, and other departments to ensure timely and accurate financial clearance of all accounts Verifies patient insurance coverage and benefits through online portals, phone calls, and other resources Verifies insurance eligibility along with benefits and ensures all notifications and authorizations are completed by the surgery date Identifies patient accounts based on self-pay, PPO, HMO, personal injury, workmen’s compensation or other managed care organizations Responds to inquiries regarding patient accounts with appropriate and accurate information in a professional manner Ensures accounts are financially secured by reviewing and documenting benefits, patient responsibilities, authorization requirements, and other relevant information Creates financial arrangements, alongside management, when a patient is unable to complete payment Calculates co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable Qualifications and Requirements: One year of insurance verification for hospital and/or ASC center. Ability to work independently with little or no supervision as well as function within a team Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization Demonstrates use of appropriate modifiers, HIPAA regulations, and insurance verification procedures Knowledge of payor guidelines including reading, understanding and interpreting medical records and payor requirements etc. Must have completed High School Diploma or GED. Benefits and Perks: $19.96-$22.96/hr. After 4 weeks of onsite training, position will be fully remote. Once hired on with the organization they offer a comprehensive benefits package, which includes three weeks of Paid Time Off, PPO or HMO, and 401k. Your New Organization:Our client is an Orthopedic and Pain Management organization with multiple locations within the Houston and Greater Houston areas with various career growth opportunities. Your Career Partner:Team1Medical, a Reserves Network company, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.In the spirit of pay transparency, we want to share the base salary range for this position is $19.96-$22.96 not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.

Job Description This is a full-time temporary position. It requires in-person training. Please apply only if you are in the Houston or Clear Lake area. q-Health is seeking an Insurance Verification Specialist to join our team. The ideal candidate has excellent attention to detail and knowledge of insurance verification and authorization/referrals. Experience with ASC Facility and procedures is preferred. We are open Monday through Friday and are located in Clear Lake. This position is capable to be fully remote after training is complete. q-Health offers a full benefit package including 401k, medical, dental, vision, life, as well as short- and long-term disability. If you are looking for a fast-paced and challenging career change, q-Health is the place for you! Core Responsibilities: Verifying patient insurance coverage prior to patient appointments and ensuring the necessary procedures are covered by a patients' insurance plan. Entering and maintaining accurate insurance information in the patient record. Request and process referrals required by HMO plans. Communicate with patients prior to their appointment about the referral required for their plan. Notifies provider when no provider in network is available Obtain prior authorization for clinics throughout the Houston area. Knowledge of customer service principles and practices. Skills Required: Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly. Ability to be proactive and take initiative. Exhibit high level of quality through attention to detail and monitoring of work. Possession of strong organizational skills. Excel Spreadsheets knowledge. Excellent verbal and written communication, as well as exceptional interpersonal communication skills. Maintains confidentiality of patient information by following policy and procedure and practice protocol. Bilingual in Spanish / English preferred. Knowledge of general office tasks, confidentiality, filing, medical terminology, CPT coding, and managed care referral process. Job Posted by ApplicantPro

Engine is the modern travel platform for booking and managing work trips. It saves businesses time and money through an intuitive travel network that connects to nearly every hotel, airline, and car rental company in the U.S. It offers single invoice billing, the flexibility to modify trips at any time without sunk costs, and a unified view of all company travel and spend. Customers rely on Engine to not only make travel easier to manage, but to make it enjoyable for everyone involved. The company is backed by Telescope Partners, Blackstone, Elefund and Permira. Learn more at *************** The Senior Revenue Enablement Specialist plays a key role in helping our go-to-market teams ramp faster, perform better, and stay aligned on what good looks like. You'll support critical programs across onboarding, ever boarding, content management, tool operations, and coordinate cross-functional projects and programs-making it easier for reps to focus on what matters most: selling. We're looking for someone who's organized, proactive, and excited to build strong foundations that scale. This is a great opportunity to grow your enablement career while making a real impact from day one. Your Mission: As part of the Engine team, you'll play a vital role in an environment where innovation meets collaboration. Here's what you'll take charge of: Support Onboarding & Ramp Coordinate onboarding sessions, manage calendars and materials, and ensure new hires are set up for success. Maintain Enablement Content Keep training decks, playbooks, and talk tracks current and easy to find. Ensure teams know what's available and how to use it. Execute Enablement Programs Help deliver learning sessions, certifications, and ongoing programs tied to GTM priorities and performance outcomes. Lead Project Coordination Track project milestones, coordinate cross-functional resources, and ensure timely execution of enablement initiatives from planning to delivery. Manage Program Implementation Develop and maintain program roadmaps, establish success metrics, and ensure alignment with broader business objectives. Manage Tools & Systems Support the daily operations of tools like Attention, Outreach, Salesforce, and LMS platforms. Assist RevOps with user access, troubleshoot issues, and monitor usage. Drive Clarity Through Communication Draft clear, timely updates for reps on process changes, product launches, and enablement opportunities. Partner Across Teams Work with Sales, Marketing, Product, and Ops to ensure alignment and drive adoption of enablement resources. Facilitate Cross-Team Collaboration Coordinate meetings, document action items, and follow up on deliverables to ensure smooth execution of cross-departmental initiatives. What You'll Bring to Engine: We're looking for someone who's ready to make an impact and grow alongside us: 2+ years in sales enablement, revenue operations, L&D, or GTM support Strong project coordination and program management skills Experience managing multiple workstreams and coordinating resources across teams Exceptional communication skills and stakeholder management abilities Demonstrated ability to manage multiple priorities and stay organized in a fast-paced environment A curious mindset and bias for action-you jump in and figure things out Basic understanding of project management methodologies and best practices Experience with project management tools is a plus Experience with Gong, Attention, Outreach, Salesforce, Articulate, or LMS platforms is a plus Cash compensation: Cash compensation: The base salary for this role is starting at a $75,000 to $100,000 base with upside potential based on performance. Final compensation packages are determined by various factors, including prior experience and expertise. The Engine Edge: Perks & Compensation We believe in rewarding great work with great benefits: Compensation: Competitive base pay tied to role and experience, with opportunities for bonuses, commissions, and equity. Benefits: Check out our full list at engine.com/culture. Environments for Success: Different roles have different needs in terms of the environments that drive success which is why we have a hybrid-hub model. Whether you are in one of our amazing offices or fully remote, we'll make sure you have what you need to succeed. Perks and benefits may vary based on employment type, location, and more. Ready to Build the Future of Work Travel? Join us on our mission to transform how work travel works-for businesses, for travelers, and for the industry. Apply now and let's make travel simpler, smarter, and more enjoyable-together.

Join Our Journey at Engine At Engine, we're revolutionizing work travel. Our modern travel platform isn't just about booking trips; it's about transforming how businesses and their teams experience travel. From seamless booking options with top airlines, hotels, and car rental providers to single-invoice billing and flexible trip modifications, we make travel not only easier to manage but also enjoyable. Backed by powerhouse investors like Telescope Partners, Blackstone, Elefund, and Permira, we're growing fast-and we want you to be part of it. This person will sit in our Tempe, AZ or Chicago, IL office on a hybrid capacity. The Senior Revenue Enablement Specialist plays a key role in helping our go-to-market teams ramp faster, perform better, and stay aligned on what good looks like. You'll support critical programs across onboarding, ever boarding, content management, tool operations, and coordinate cross-functional projects and programs-making it easier for reps to focus on what matters most: selling. We're looking for someone who's organized, proactive, and excited to build strong foundations that scale. This is a great opportunity to grow your enablement career while making a real impact from day one. Your Mission: As part of the Engine team, you'll play a vital role in an environment where innovation meets collaboration. Here's what you'll take charge of: Support Onboarding & Ramp Coordinate onboarding sessions, manage calendars and materials, and ensure new hires are set up for success. Maintain Enablement Content Keep training decks, playbooks, and talk tracks current and easy to find. Ensure teams know what's available and how to use it. Execute Enablement Programs Help deliver learning sessions, certifications, and ongoing programs tied to GTM priorities and performance outcomes. Lead Project Coordination Track project milestones, coordinate cross-functional resources, and ensure timely execution of enablement initiatives from planning to delivery. Manage Program Implementation Develop and maintain program roadmaps, establish success metrics, and ensure alignment with broader business objectives. Manage Tools & Systems Support the daily operations of tools like Attention, Outreach, Salesforce, and LMS platforms. Assist RevOps with user access, troubleshoot issues, and monitor usage. Drive Clarity Through Communication Draft clear, timely updates for reps on process changes, product launches, and enablement opportunities. Partner Across Teams Work with Sales, Marketing, Product, and Ops to ensure alignment and drive adoption of enablement resources. Facilitate Cross-Team Collaboration Coordinate meetings, document action items, and follow up on deliverables to ensure smooth execution of cross-departmental initiatives. What You'll Bring to Engine: We're looking for someone who's ready to make an impact and grow alongside us: 2+ years in sales enablement, revenue operations, L&D, or GTM support Strong project coordination and program management skills Experience managing multiple workstreams and coordinating resources across teams Exceptional communication skills and stakeholder management abilities Demonstrated ability to manage multiple priorities and stay organized in a fast-paced environment A curious mindset and bias for action-you jump in and figure things out Basic understanding of project management methodologies and best practices Experience with project management tools is a plus Experience with Gong, Attention, Outreach, Salesforce, Articulate, or LMS platforms is a plus Cash compensation: The base salary for this role is starting at a $75,000 to $100,000 with upside potential based on performance. Final compensation packages are determined by various factors, including prior experience and expertise. #LI-MH1 The Engine Edge: Perks & Compensation We believe in rewarding great work with great benefits: Compensation: Competitive base pay tied to role and experience, with opportunities for bonuses, commissions, and equity. Benefits: Check out our full list at engine.com/culture. Environments for Success: Different roles have different needs in terms of the environments that drive success which is why we have a hybrid-hub model. Whether you are in one of our amazing offices or fully remote, we'll make sure you have what you need to succeed. Perks and benefits may vary based on employment type, location, and more. Ready to Build the Future of Work Travel? Join us on our mission to transform how work travel works-for businesses, for travelers, and for the industry. Apply now and let's make travel simpler, smarter, and more enjoyable-together.