Job Summary: 

• Works under the supervision of the Business Services Coordinator
• Performs diverse clerical tasks involved in processing billing for services to patients to expedite remittances and minimize outstanding accounts
• Checks for prior stays and charges
• Resolves questions through written correspondence, in person or by telephone
• Greets patients and the public politely
• Composes and types letters
• Verifies information/charges on patient account for accuracy, reconciles discrepancies
• Maintains records and files of account transactions, hard copy and computer system
• Answers inquiries accurately and courteously by phone or in person
• Observant of co-members' desks when vacant
• Enters detailed comments into the computer
• Obtains documents from outside departments to obtain the necessary information to complete the verification/billing process
• Checks admissions for prior stays and transfers charges from outpatients

Skills on Resume: 

• Clerical Tasks (Hard Skills)
• Billing Processing (Hard Skills)
• Account Verification (Hard Skills)
• Record Maintenance (Hard Skills)
• Patient Interaction (Soft Skills)
• Information Retrieval (Hard Skills)
• Written Communication (Soft Skills)
• Problem Resolution (Soft Skills)

Job Summary: 

• Receives, interprets and processes any incoming mail/bulletins, submits necessary modifications
• Processes late charges and completes the spreadsheet
• Downloads claims to PC from Host systems
• Bills both primary and secondary insurance carriers for inpatients and outpatients, process adjustments, calculate days and deductibles, at the time of billing, calculate expected payments, and adjust balances
• Maintains a system for review and follow-up on unpaid claims
• Completes claim check process to produce bills and enters, corrects, or reverses charges with documentation
• Refers accounts to a self-pay status when collection efforts have been exhausted or denied
• Appears in court and rebills accounts
• Interprets for non-English speaking patients/public
• Communicates with insurance carriers to ensure coverage for services provided

Skills on Resume: 

• Mail Processing (Hard Skills)
• Claims Billing (Hard Skills)
• Spreadsheet Management (Hard Skills)
• Payment Calculation (Hard Skills)
• Claims Follow-Up (Hard Skills)
• Court Representation (Soft Skills)
• Language Interpretation (Soft Skills)
• Carrier Communication (Soft Skills)

Job Summary: 

• Set up New and Renewal client records
• Bind New and Renewal policies
• Invoice New and Renewal policies
• Follow up on the missing file documents
• Review applications for accuracy
• Process endorsements, cancellations, reinstatements and non-renewals
• Order loss control reports, follow up for compliance of recs
• Gather and prepare insurance reimbursements for manual or electronic posting to the appropriate office accounts
• Manually post payments and adjustments
• Provide auditors, billers, and other claims tracers with assistance in the follow-up of outstanding claims payments
• Scan paper EOB’s for ERA conversion
• Daily reconciliation of scanned batches

Skills on Resume: 

• Policy Processing (Hard Skills)
• Record Setup (Hard Skills)
• Application Review (Hard Skills)
• Document Follow-Up (Soft Skills)
• Payment Posting (Hard Skills)
• Claims Assistance (Soft Skills)
• Batch Reconciliation (Hard Skills)
• Report Ordering (Hard Skills)

Job Summary: 

• Investigate denials using appropriate tactics
• Follow the procedure to resubmit bills for reimbursement
• Prepare for resubmission of corrected bills for reimbursement
• Pinpoint the foundation of the denial and resolve the denial
• Assisting service companies in completing claims for warranty repairs
• Processing and submitting claims to the manufacturer for payment
• Tracking claims until completed
• Communicating with vendors, homeowners, and service contractors

Skills on Resume: 

• Denial Investigation (Hard Skills)
• Bill Resubmission (Hard Skills)
• Error Correction (Hard Skills)
• Claim Resolution (Hard Skills)
• Warranty Claims (Hard Skills)
• Claim Tracking (Hard Skills)
• Vendor Communication (Soft Skills)
• Customer Interaction (Soft Skills)

Job Summary: 

• Maintain files, set up files, enter data, organize, classify, and file information/documents
• Retrieve information and files and requested
• Respond promptly to requests in-person, over the phone and/or in writing
• Provide files, documents, photos, reports, and other relevant materials.
• Prepare standard departmental reports, forms, and other documents.
• Use several computer programs to store and organize data
• Process credits and payments 
• Reconcile checks, cash and paperwork
• Track and report payments, bills and credits
• Process and distribute mail
• Maintain office inventory and order supplies

Skills on Resume: 

• File Management (Hard Skills)
• Data Entry (Hard Skills)
• Information Retrieval (Hard Skills)
• Report Preparation (Hard Skills)
• Payment Processing (Hard Skills)
• Account Reconciliation (Hard Skills)
• Customer Response (Soft Skills)
• Inventory Management (Hard Skills)

Job Summary: 

• Collect all Guarantor and insurance details to help assess patient eligibility
• Provide insurance verification for all new patients and reverify benefits and eligibility for existing patients when the plan year renews
• Be the insurance expert for the patient by explaining benefits and coverage
• Enter all patient and insurance information into EMR to ensure accurate and correct billing
• Determine deductible, co-payments and coinsurance for patients in participating insurance plans
• Properly advise patients regarding the need for co-payments
• Collect co-pays and open balances
• Verify student eligibility per semester
• Determine and explain benefit coverage for students
• Interpret plan coverage and coordinate appropriate treatment
• Assist with referrals and be a liaison between participating plan providers and patients
• Answer phones and general insurance questions
• Greet students, patients and visitors

Skills on Resume: 

• Eligibility Verification (Hard Skills)
• Benefit Explanation (Soft Skills)
• Data Entry (Hard Skills)
• Payment Collection (Hard Skills)
• Patient Advising (Soft Skills)
• Referral Assistance (Soft Skills)
• Phone Handling (Soft Skills)
• Customer Greeting (Soft Skills)

Job Summary: 

• Handle non-compliance issues with subcontractors, their insurance agents and/or D.R. Horton’s insurance monitoring service (EBIX)
• Request renewal insurance documents from subcontractors and/or their insurance agents
• Assist D.R. Horton’s Purchasing Department with insurance reviews for new vendor setups
• Utilize JDE as a management system to document insurance compliance activities
• Generate OCIP/Wrap-Up Insurance enrollment reports and review them with the Purchasing Department to address any enrollment concerns
• Communicate basic insurance knowledge to subcontractors and/or their insurance agents regarding insurance documents, wording/language and insurance requirements
• Conducts all business professionally and ethically to serve customers and increase the goodwill and profit of the company
• Monitor OCIP (Wrap-Up insurance program) enrollment reports to ensure subcontractors are enrolled in the OCIPs
• Communicate daily with company personnel, subcontractors, and insurance agents
• Monitor insurance expiration reports to ensure renewal documents are received before expiration

Skills on Resume: 

• Compliance Management (Hard Skills)
• Document Request (Hard Skills)
• Insurance Review (Hard Skills)
• System Documentation (Hard Skills)
• Report Generation (Hard Skills)
• Insurance Communication (Soft Skills)
• Ethical Conduct (Soft Skills)
• Expiration Monitoring (Hard Skills)

Job Summary: 

• Process all title work in an accurate and timely manner
• Coordinate title searches and provide necessary documentation 
• Ensure all Certificates of Insurance are current and documented
• Update the database with the current insurance
• Update all necessary software and spreadsheets as the title activity demands
• Generate weekly and monthly reporting related to insurance
• Be responsive and provide ongoing support to the leasing team, sales, marketing and business development personnel
• Develop strong working relationships with other operational team members
• Take direction promptly from managerial staff
• Ensure non-disclosure of proprietary carrier information and driver lists

Skills on Resume: 

• Title Processing (Hard Skills)
• Title Search (Hard Skills)
• Certificate Management (Hard Skills)
• Database Updating (Hard Skills)
• Report Generation (Hard Skills)
• Team Support (Soft Skills)
• Collaboration (Soft Skills)
• Confidentiality Practice (Soft Skills)

Job Summary: 

• Responsible for assisting customers with insurance-related issues, such as proof of coverage standards and disputes
• Working with pending physical damage/total loss claims as well as interacting with the Insurance carrier, WNC-First 
• Handle a high volume of incoming calls with the bank's customers as well as insurance companies
• Process monetary adjustments and payments to customers' loan accounts
• File GAP claims on damaged vehicles and follow up to ensure receipt of the same
• Responsible for opening and sorting incoming mail
• Prepare customer letters, intake and follow-up on total loss claims
• Assist the department supervisor with incoming phone calls
• Address unmatched documents in HawkSoft from nightly download
• Open Lot program dealer report servicing
• Open lot program dealer certificate requests

Skills on Resume: 

• Customer Assistance (Soft Skills)
• Claims Handling (Hard Skills)
• Call Management (Soft Skills)
• Payment Processing (Hard Skills)
• GAP Claims (Hard Skills)
• Mail Processing (Hard Skills)
• Document Management (Hard Skills)
• Letter Preparation (Hard Skills)

Job Summary: 

• Effectively manage the renewal book of business, including communicating with both the carrier’s renewal team and retail agents
• Review indications, quotes, binders, submissions and policies for completeness and accuracy
• Read policy forms and compare coverages 
• Maintain good rapport with both the retailers and the carrier partners
• Examines such documents as application forms, inspection reports, insurance maps, and medical reports
• Determine the degree of risk from such factors as applicant financial standing, age, occupation, accident experience, and value and condition of property
• Work with Brokers and Account Executives when reviewing risks submitted by Producers, rate submissions for premium and terms, and issue written binders
• Review indications, quotes, binders, submissions and policies for completeness and accuracy
• Identify the different types of policies and the common information to request the inspection company to obtain at the time of inspection
• Work with the Brokers and Account Executives to be sure the forms on the policies are the current edition dates used by each Company

Skills on Resume: 

• Renewal Management (Hard Skills)
• Policy Review (Hard Skills)
• Coverage Comparison (Hard Skills)
• Relationship Building (Soft Skills)
• Risk Assessment (Hard Skills)
• Broker Collaboration (Soft Skills)
• Document Examination (Hard Skills)
• Accuracy Verification (Soft Skills)

Job Summary: 

• Work with the Binding Authority Underwriter or Broker when reviewing risks submitted by Producers, rate submissions for premium and terms, and issue written binders
• Provide full assistance and support for the sales and production process in the department
• Issue binders and invoices
• Review indications, quotes, binders, submissions and policies for completeness and a high degree of accuracy
• Become thoroughly familiar with the use of all agency management software systems and suggest labor-saving uses to the Department Leader
• Identify the different types of policies and the common information to request the inspection company to obtain at the time of inspection
• Carefully review inspections used to obtain underwriting information, quoted rates, and ensure adherence to company underwriting guidelines
• Issue and re-issue Certificates of Insurance
• Work with the Binding Authority Underwriter or Broker to be sure the forms on the policies are the current edition dates used by each Company
• Answer basic questions a retail agent, finance company or carrier may have
• Ensure compliance with government agencies and corporate policies and procedures
• Attend training sessions, courses, etc., to maintain up-to-date skills

Skills on Resume: 

• Risk Review (Hard Skills)
• Sales Support (Soft Skills)
• Binder Issuance (Hard Skills)
• Policy Accuracy (Hard Skills)
• Software Proficiency (Hard Skills)
• Inspection Review (Hard Skills)
• Certificate Issuance (Hard Skills)
• Compliance Knowledge (Hard Skills)

Job Summary: 

• Prepare and file insurance claims in accordance with the insurance carrier's regulatory and contractual requirements
• Review, correct and reconcile rejections from the clearing house or the CIMOR system
• Review, reconcile and post remittance advices (RA) or explanations of benefits (EOB) as received for insurance carriers
• Process, correct or adjust denied claims and overpayments for insurance carriers
• Work with other departments in obtaining insurance information to file or correct claims for insurance carriers
• Review and process open items reports for insurance carriers
• Verify insurance eligibility for scheduled appointments
• Process collection of deductibles and co-insurance for insurance carriers
• Work with other departments in obtaining insurance information to file or correct claims for insurance carriers and patient accounts

Skills on Resume: 

• Claims Filing (Hard Skills)
• Rejection Reconciliation (Hard Skills)
• Remittance Posting (Hard Skills)
• Denial Processing (Hard Skills)
• Information Coordination (Soft Skills)
• Report Review (Hard Skills)
• Eligibility Verification (Hard Skills)
• Payment Collection (Hard Skills)