Job Summary: 

• Deal with insurance queries from tenants/lessees and Managing Agents, and issue appropriate credits/debits to them
• Checking contracts and building reports on Excel
• Deal with underwriting queries from insurers and queries from auditors preparing service charge accounts
• Issues copy policy documents and schedules
• Liaise with insurers on general queries and advise them of any changes that may affect the policy cover
• Liaise appropriately with other parties, e.g., surveyors, valuers, Managing Agents and other company departments to ensure that requirements are implemented
• Obtain quotations from and negotiate with insurers in relation to both new business and the remarketing of existing business at renewal
• Check premium calculations and documents received from insurers to ensure they are correct in all respects
• Check processing for payment to insurers and recovery of premiums
• Maintain and build insurance relations
• Review leases and ensure that insurance covenants are appropriately insured
• Carry out necessary associated general office duties, i.e., answering telephone, filing, photocopying, etc.
• Attend site visits with insurance surveyors and Managing Agents

Skills on Resume: 

• Insurance Queries (Soft Skills)
• Excel Reporting (Hard Skills)
• Underwriting Knowledge (Hard Skills)
• Policy Management (Hard Skills)
• Insurer Liaison (Soft Skills)
• Quotation Negotiation (Soft Skills)
• Premium Checking (Hard Skills)
• Lease Review (Hard Skills)

Job Summary: 

• Greeting patients, answering telephones, scheduling, and confirming appointments
• Assist new patients in filling out the registration form
• Check in patients upon arrival, ask if any medical changes have occurred since the last visit, confirm address, email address, cell phone number and insurance
• Review the patient’s forms/questionnaire and input into the computer
• Responsible for insurance verifications and accurate communications to staff and patients regarding the insurance coverage
• Check the roster for all HMO patients to see if they need assignment to the facility
• Answer the phone before the third ring and use the Five Star Phone System
• Answering patients’ billing questions
• Entering the patient’s information and health history into Dentrix under the correct provider, they are seeing and accurate insurance information and breakdown
• Scan all patients’ forms into Dentrix
• Ensures all insurance-related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for the Practice
• Prepare end-of-the-day reports accordingly to the day allotted
• Assist with the end-of-report

Skills on Resume: 

• Greeting Patients (Soft Skills)
• Answering Phones (Soft Skills)
• Scheduling Appointments (Hard Skills)
• Insurance Verification (Hard Skills)
• Data Entry (Hard Skills)
• Patient Check-In (Hard Skills)
• Billing Questions (Soft Skills)
• Dentrix Input (Hard Skills)

Job Summary: 

• Prepare and submit billings, distribute monthly/quarterly/annual reinsurer bordereaus and claims reporting
• Process and distribute the Annual Tokio Marine reinsurance arrangement request
• Assist with internal and external auditors’ requests
• Assist with Reinsurer Underwriting and Claims review process
• Assist with facultative Intermediary visits and outings
• Assist in all aspects of travel arrangements
• Assist with maintenance and entry of data in reinsurance systems
• Daily receive and respond timely to all state unemployment claims, wage verification notices and wage disputes
• Review all reported wages for accuracy
• Research State programs to determine eligibility for a lower rate
• File letters of appeal with the various State Agencies
• Gather evidentiary documents, prep and review testimony with the divisions before the hearings, and serve as the Primary Representative during the Administrative Appeals Hearings
• Quarterly develop reporting data that illustrates experience ratings as well as quarterly deposits, and advise management as to the actual and potential cost exposure in unemployment

Skills on Resume: 

• Data Entry (Hard Skills)
• Claims Reporting (Hard Skills)
• Audit Support (Hard Skills)
• Travel Coordination (Soft Skills)
• Wage Verification (Hard Skills)
• Appeals Representation (Soft Skills)
• Rate Research (Hard Skills)
• Report Development (Hard Skills)

Job Summary: 

• Contact branches for updated insurance policies and enter them into the Salesforce database
• Follow up with the appropriate staff and or agencies to obtain the correct insurance data
• Runs monthly expired policy reports from the CRM
• Enter the current and renewal certificates of insurance
• Create and maintain electronic job folders, and properly label and file documents electronically
• Create and distribute sample COIs and Insurance Exhibits
• Communicate with subcontractors, brokers, and third parties to obtain compliant COIs and related documents
• Review subcontractor insurance to ensure compliance with contractual requirements
• Distribute COIs to internal and external stakeholders, including Clients, Client Representatives, and/or Building Managers
• Create and maintain COI tracking logs
• Review and request COI requests, and communicate with the broker to obtain COIs
• Escalate compliance issues as they arise

Skills on Resume: 

• Insurance Entry (Hard Skills)
• Policy Follow-Up (Soft Skills)
• CRM Reporting (Hard Skills)
• Document Filing (Hard Skills)
• Stakeholder Communication (Soft Skills)
• COI Tracking (Hard Skills)
• Compliance Review (Hard Skills)
• Issue Escalation (Soft Skills)

Job Summary: 

• Handle insurance claims electronically
• Inputting insurance payments into the appropriate ledgers
• Verifying patient insurance benefits
• Estimating Pre-Treatment financials for patients
• Work closely with the team to successfully manage patient flow
• Manage data entry and status monitoring of pending, new, and renewal licenses
• Maintain all insurance licenses for the agency and insurance advisors
• Upload licenses with insurance carriers
• Scanning, faxing, mailing, and populating multiple forms and documents to support insurance licensing and carrier appointment processes
• Support the Compliance Director on the company’s commitment to compliance with all local, state and federal laws and regulations
• Responsible for registering patients for surgery
• Communicates with the central billing office on any insurance denials
• Obtaining all authorizations and insurance pre-certifications
• Familiar with online commercial and Medicare/Medicaid online verification products
• Putting chart packets together for the next day's surgical cases
• Communicate effectively with physicians' practices on obtaining patient information
• Gather any missing pre-registration information from patients to obtain authorizations and pre-certifications

Skills on Resume: 

• Claims Handling (Hard Skills)
• Payment Posting (Hard Skills)
• Insurance Verification (Hard Skills)
• Patient Registration (Hard Skills)
• License Management (Hard Skills)
• Document Processing (Hard Skills)
• Compliance Support (Soft Skills)
• Team Coordination (Soft Skills)

Job Summary: 

• Interviews patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs
• Meets with patients/families on the unit to obtain information that was not collected during the admission process and completes registration items (i.e., insurance cards, prescription cards, correct demographic information, etc.)
• Assesses the patient's need for financial assistance during the admission process or at a time before the patient's discharge
• Determines patient eligibility for charity care for inpatient/outpatient level of care
• Completes the charity application in accordance with NCH charity care policies
• Forwards applications to Patient Accounts for final review and approval
• Completes notes in the EPIC system on all discussions, events and outcomes
• Responds to all inquiries regarding patient accounts and financial assistance policies
• Maintains effective communication and cooperative working relationships with other departments, staff, patients and visitors
• Verifies patients' dental insurance benefits, including health 
• Understands the breakdown for dental benefits
• Enters data using different practice management software
• Uploads completed insurance verification forms
• Communicates with offices for any dental insurance concerns

Skills on Resume: 

• Patient Interviews (Soft Skills)
• Eligibility Assessment (Hard Skills)
• Charity Processing (Hard Skills)
• EPIC Documentation (Hard Skills)
• Account Inquiries (Soft Skills)
• Insurance Verification (Hard Skills)
• Data Entry (Hard Skills)
• Dental Communication (Soft Skills)

Job Summary: 

• Maintain patient accounts by obtaining, recording, and updating the patients’ personal, financial and insurance information
• Document progress and office notes in ReSource
• Request authorization from the insurance carriers for services rendered or to be rendered
• Ensure that patient balances are adequately posted
• Review patient accounts and follow up with the insurance carriers on incorrect insurance denials
• Review claim denials to make sure the correct ICD-9 and CPT codes have been used
• Work on the aging and collection reports to ensure claims are being followed up on promptly
• Maintain professional and technical knowledge
• Control of the Company Insurance Fund
• Updating and reviewing the Insurance Database
• Key contact for Courtesy Cars
• Produce monthly and ad-hoc reporting
• Update the Insurance Policies and Procedures
• Dealing with all aspects of insurance, i.e., Driving License checks and Key controls
• Process motor-related fines and notices

Skills on Resume: 

• Account Maintenance (Hard Skills)
• Authorization Requests (Hard Skills)
• Denial Review (Hard Skills)
• Claims Follow-Up (Hard Skills)
• Insurance Database (Hard Skills)
• Report Production (Hard Skills)
• Policy Updates (Hard Skills)
• Customer Interaction (Soft Skills)

Job Summary: 

• Handle incoming calls from customers, brokers, and claimants alike
• Prepare check requests and invoices
• Maintain organized files and prepare customer letters
• Processes and maintains Certificates of Insurance for new and established clients
• Request ID Cards from brokers/agents, review for compliance
• Assist with commercial auto damage claims with little to no direction and oversight
• Conduct a timely follow-up to ensure repairs have been made
• Coordinate repair schedules and notifications to insurance carriers
• Adheres to high standards of professional conduct while providing delivery of superior service
• Maintains current knowledge of insurance and applicable products/services, court decisions that may impact the claims function, current guidelines in the claims function, and policy changes and modifications
• Submits auto accident/incident reports to the carrier and for the client
• Understand company policies and ensure confidential information is protected
• Delivers a positive On-Your-Side customer service experience to all internal, external, current and prospective HUB customers

Skills on Resume: 

• Call Handling (Soft Skills)
• Invoice Preparation (Hard Skills)
• COI Processing (Hard Skills)
• Claims Assistance (Hard Skills)
• Repair Coordination (Hard Skills)
• Service Delivery (Soft Skills)
• Policy Knowledge (Hard Skills)
• Customer Service (Soft Skills)

Job Summary: 

• Insurance benefit verification and updating plans in the system
• Process dental claims when services are rendered
• Post primary and secondary insurance payments, making appropriate write-offs
• Verify and update recurring procedure eligibility
• Send out daily statements as insurance payments are received
• Reply to insurance requests for additional information
• Run outstanding claim report, follow up on outstanding claims, and report progress to the practice manager
• Printing and preliminary verification of the daysheet, writing deposit slips
• Audits all patient accounts from the previous day to ensure documentation is correct, paperwork is completed, and the patient's ledger reflects the actual treatment rendered

Skills on Resume: 

• Benefit Verification (Hard Skills)
• Claim Processing (Hard Skills)
• Payment Posting (Hard Skills)
• Eligibility Updates (Hard Skills)
• Insurance Follow-Up (Hard Skills)
• Account Auditing (Hard Skills)
• Statement Management (Hard Skills)
• Daily Reporting (Hard Skills)

Job Summary: 

• Booking Lab appointments for clients
• Calling clients to remind them of booked appointments
• Monitoring clients whose Insurance authorizations are coming up for expiration and ensuring the necessary steps are taken before their authorizations expire
• Working very closely with the Edmonton office clinical staff (RRTs) and the billing staff
• Suspending and restarting billing according to the Authorization status
• Entering authorizations in various software/computer platforms
• Accurate documentation of all clinical notes and communications with staff, lab, and doctors’ offices
• Minimum of 75 verifications per day
• Meticulous attention to detail
• Retain specific avenues and verification methods
• Complete PPO breakdowns in a timely fashion for emergency patients
• Maintain a well-organized system of operation with appropriate team members
• Communicate and document all issues and resolutions effectively
• Enter data using dental practice management software
• Generating reports for all activities
• Takes part in training and other learning opportunities to expand knowledge of the company and position
• Meets daily, weekly, and monthly department goals set forth by management
• Adheres to all company policies and procedures, and abides by HIPAA regulations

Skills on Resume: 

• Appointment Booking (Hard Skills)
• Authorization Tracking (Hard Skills)
• Billing Management (Hard Skills)
• Clinical Coordination (Soft Skills)
• Data Entry (Hard Skills)
• Detail Orientation (Soft Skills)
• Report Generation (Hard Skills)
• Policy Compliance (Soft Skills)

Job Summary: 

• Responsible for communicating with customers, insurance agents and dealers to verify insurance on retail and lease accounts
• Respond to inquiries from internal staff, dealers, Sentry Insurance, outside insurance agencies and customers
• Maintain accurate records and enter data into appropriate systems
• Evaluate the insurance documentation provided by insurance companies to verify that the collateral is insured
• Support the claims process by providing relevant documentation to the appropriate parties
• Prepare and present patient financial treatment plans and financial options
• Prepare insurance claims for patients with dental insurance
• Monitor inventory and order office supplies
• Manage and maintain a productive recall/recare system
• Work with various insurance agencies to manage funding authorization for clients
• Book testing appointments to comply with funding agency requirements
• Working with staff from other departments to gather relevant information
• Correspond with Dr.’s offices for relevant information for funding purposes

Skills on Resume: 

• Insurance Verification (Hard Skills)
• Customer Communication (Soft Skills)
• Data Entry (Hard Skills)
• Claims Support (Hard Skills)
• Treatment Planning (Hard Skills)
• Inventory Management (Hard Skills)
• Recall System (Hard Skills)
• Funding Coordination (Hard Skills)

Job Summary: 

• Answering phones and fielding insurance questions
• Process claim denials and resend with necessary materials
• Write narratives when insurance is requesting additional information
• Update and maintain fee schedules
• Proactively research and investigate unusual benefits or network discrepancies
• Maintain timely reimbursement of all claims
• Manage daily claims processing
• Review subscriber information for accuracy before submission
• Retrieve the clearing house report daily and resend any necessary claims
• Attach necessary X-rays, narrative, and anesthesia records before submission
• Process patient refunds and monthly statements

Skills on Resume: 

• Phone Handling (Soft Skills)
• Denial Management (Hard Skills)
• Narrative Writing (Hard Skills)
• Fee Schedule Updates (Hard Skills)
• Claims Processing (Hard Skills)
• Benefit Research (Hard Skills)
• Reimbursement Tracking (Hard Skills)
• Refund Processing (Hard Skills)

Job Summary: 

• Reviewing the pending authorizations report 
• Initiating authorizations into the proprietary system
• Checking benefits and eligibility
• Ensuring that all necessary documentation is scanned into the proprietary system
• Support to the clinics for any insurance-related questions, including benefit interpretation
• Requesting and obtaining Worker’s Compensation approvals
• Intense phone follow-up with payors for status on unresolved claims and authorizations
• Re-bill, upload, and correct claims in the clearinghouse
• Reading remits from insurance payers
• Appealing claims for reimbursement

Skills on Resume: 

• Authorization Review (Hard Skills)
• Eligibility Checking (Hard Skills)
• Document Scanning (Hard Skills)
• Benefit Interpretation (Soft Skills)
• Claim Follow-Up (Hard Skills)
• Rebilling Claims (Hard Skills)
• Remit Reading (Hard Skills)
• Claims Appeals (Hard Skills)

Job Summary: 

• Verification of all forms of health and third-party insurance
• Setting up insurance policies and patient accounts
• Securing personal injury claims
• Assure the collection of patient fees
• Handling of any accounts receivable
• Communicating patient benefits and out-of-pocket costs
• Handling of payment arrangements and Care Credit
• Encourage and improve cross-department internal communication
• Manage workflow and efficiency of the Insurance Office
• Review of payer coverage determinations and submission of surgical procedures authorizations
• Interpretation and review of patient insurance benefits as it relates to booked surgeries
• Works in collaboration with clinical staff to ensure that all medical necessity criteria are met and documented in the proper locations of the patient's chart
• Act as a liaison to the billing department as a whole to ensure that any post-surgical payment issues are resolved timely manner
• Works with patients to ensure that any potential financial obstacles are addressed
• Determining patient eligibility for financial assistance, payment plans, or a Care Credit application

Skills on Resume: 

• Insurance Verification (Hard Skills)
• Account Setup (Hard Skills)
• Claims Management (Hard Skills)
• Fee Collection (Hard Skills)
• Benefit Communication (Soft Skills)
• Workflow Management (Hard Skills)
• Surgical Authorization (Hard Skills)
• Financial Counseling (Soft Skills)

Job Summary: 

• Back-up point of contact for the clients regarding Certificates of Insurance, Motor Vehicle Reports, policy changes, requests for loss runs - address questions
• Communicate effectively with internal/external clients
• Provide exceptional customer service to internal/external clients
• Maintain contact and collaborate with internal personnel (Client Managers, Marketing, Producers) and external parties (Clients and Insurance Companies)
• Plan, prioritize, and complete day-to-day workload, taking into account urgent assigned tasks such as Certificates of Insurance, Auto ID Cards, and Motor Vehicle Reports requested by clients and Client Managers, promptly ensuring internal/external deadlines are met
• Order claims history reports for all accounts assigned to the Client Managers within the designated time frame and when requested by Marketing 
• Access insurance carrier websites every week and as requested by Client Managers, to retrieve electronic copies of policy documents
• Process client change requests by updating policy management systems
• Requesting endorsements from insurance carriers, follow-up for endorsements, check endorsements when received, invoice, and deliver endorsements to clients
• Answer phones and process daily incoming/outgoing mail
• Conduct all business in accordance with established policies and procedures
• Attend client meetings on or off-site on occasion

Skills on Resume: 

• Client Support (Soft Skills)
• Policy Updates (Hard Skills)
• Customer Service (Soft Skills)
• Task Prioritization (Soft Skills)
• Claims History (Hard Skills)
• Document Retrieval (Hard Skills)
• Change Processing (Hard Skills)
• Meeting Participation (Soft Skills)

Job Summary: 

• Work with a sense of ownership while verifying insurance coverage/frequency limits, adjustments
• Verifying accuracy of claims, submitting claims, posting payments, and appealing/resubmitting claims
• Maintain productivity and professionalism in a fast-paced environment and stressful situations
• Work up patient schedules before the appointment to ensure prior authorization was obtained
• Accurately enter notes into the system regarding insurance authorization or notifications
• Contact patients for updated insurance information
• Assist with patient inquiries and billing-related questions
• Protects patient confidentiality by making sure documentation is scanned correctly into the patient's Electronic Medical Record
• Uploads medical records to be sent out with claims
• Provide positive and prompt customer service to clients and agents regarding their accounts
• Follow up on compliance documentation
• Utilize Microsoft Word and Excel to update the client database

Skills on Resume: 

• Insurance Verification (Hard Skills)
• Claim Submission (Hard Skills)
• Authorization Prep (Hard Skills)
• Patient Communication (Soft Skills)
• EMR Management (Hard Skills)
• Billing Support (Soft Skills)
• Customer Service (Soft Skills)
• Database Updating (Hard Skills)

Job Summary: 

• Timely obtain and verify insurance coverage with insurance agencies
• Track and manage changes in customer insurance coverage
• Handle inbound calls from customers, insurance agents, and other vendors
• Audit and reporting of customer accounts and the status of insurance coverage
• Receiving and resolving inquiries from 3 rd parties, customers, and internal departments regarding insurance coverage
• Collaborating with other team members to solve issues and resolve process conflicts
• Communicate timeline and delivery expectations to respective departments
• Provide input to improve the efficiency of processes and procedures to enhance the speed and quality of the process
• Communicate with insurance payers to ensure proper insurance coverage for patients 
• Ensure timely and accurate reimbursement for dialysis services rendered at clinics
• Apply annual escalators to each contract
• Analyze, assess impact, resolve and escalate concerns involving accurate billing and revenue capture
• Ensure all billing and revenue accuracy activities comply with DaVita Compliance Policies and SOX documentation standards
• Partner with IT, Compliance, Business Analyst team, and other Revenue Cycle departments
• Identify root causes and improve current system functionality
• Attend team meetings, phone conferences, and training 

Skills on Resume: 

• Insurance Verification (Hard Skills)
• Coverage Tracking (Hard Skills)
• Call Handling (Soft Skills)
• Account Auditing (Hard Skills)
• Issue Resolution (Soft Skills)
• Process Improvement (Hard Skills)
• Billing Accuracy (Hard Skills)
• Team Collaboration (Soft Skills)

Job Summary: 

• Act as a liaison between Clients, Insurance Carriers/TPAs, Defense Counsel, Nurse Case Managers, and other involved parties to ensure proper coordination of medical treatment, benefits, and status of claims
• Review all newly reported claims for follow-up and resolution
• Assist in the initial investigation of claims
• Review carrier claim reporting notices and appropriate claims handling according to Infiniti HR Special Account Instructions, as well as internal and Client-specific policies and procedures
• Coach Clients on HR ramifications or expectations relating to insurance claims
• Prepare Loss Runs and status reports of claims
• Remit timely and professionally, responses to questions and requests from insurers, TPAs, vendors, medical providers, and other involved parties, including internal partners
• Develop action plans to manage claims promptly that lead to successful resolution
• Track, monitor, and evaluate the payment of ongoing benefits to out-of-work employees
• Prepare a weekly report communicating the same
• Complete and verify the accuracy of Wage Statements and Benefits payments to employees
• Identify common claim trends, unsafe practices, and/or other employee risk exposures and inform VP of Risk Management of the same
• Contact Clients to confirm the information viewed
• Initiate a request for more information
• Guide Client contacts regarding information to appeal and/or protest claims
• Remit completed claims to the vendor within the required response deadlines
• Research and answer follow-up questions regarding claims status
• Propose and provide forms, tools, and/or resources that add value to internal Operations, including Standard Operating Procedure (SOP) creation and updates

Skills on Resume: 

• Claims Coordination (Hard Skills)
• Claims Investigation (Hard Skills)
• Client Coaching (Soft Skills)
• Status Reporting (Hard Skills)
• Benefit Tracking (Hard Skills)
• Claims Resolution (Hard Skills)
• Trend Identification (Hard Skills)
• SOP Development (Hard Skills)

Job Summary: 

• Verify eligibility and benefits for ortho and dental patients
• Send insurance claims and pre-authorizations manually and electronically with the necessary attachments and information
• Follow up with insurance companies on claims outstanding and resolve to obtain payment
• Help assume responsibility for decreasing accounts receivable
• Present treatment to patients
• Make financial arrangements for treatment
• Answer telephones and schedule appointments
• Close out and balance at the end of the night
• Functions as liaison between insurance broker and stakeholder division leaders, including finance
• Facilities and others to coordinate and complete annual insurance renewal activities
• Assists with the coordination, submission and maintenance of claims and monitors the processing of claims to ensure accurate and timely adjudication and settlement
• Assists with assigned litigation including discovery requests, works with outside counsel and third-party administrators to support claims and litigation activities and resolution consistent with settlement authority
• Supports TGH Safety initiatives through event analysis, investigation and training for assigned areas

Skills on Resume: 

• Eligibility Verification (Hard Skills)
• Claim Submission (Hard Skills)
• Accounts Follow-Up (Hard Skills)
• Treatment Presentation (Soft Skills)
• Financial Arrangements (Soft Skills)
• Appointment Scheduling (Soft Skills)
• Renewal Coordination (Hard Skills)
• Litigation Support (Hard Skills)

Job Summary: 

• Input superbill forms into the system daily for UHC and private insurance companies
• Reconcile student insurance charges at the beginning of each semester with the assistant bursar
• Budget management, monthly and annual distribution of funds
• Reconcile monthly and submit a report to the Dean of Students' office, the Budget office and the Director
• Purchase Requisitions at the beginning of the fiscal year and sporadically throughout the year
• Responsible for setting schedules in the system, uploading insurance coverage information, and sending private insurance billing to the billing team at Pyramed
• Work closely with various departments throughout the university such as the international department, the veterans department, and the athletic department, to ensure students have health care coverage that meets the university's minimal standards
• Back-up for front office, answering phones, filing, pulling charts, checking students in and making appointments in the Pyramed scheduling system
• Support the mission and goals of the Wellness Center within the division of the Dean of Students by attending necessary meetings and presentations as directed by the Director of Wellness Center
• Responsible for all prior authorizations 
• Responsible for pharmacy inventory (inputting medication into the system and removing expired medication) 
• Run inventory reports to determine if medication has expired

Skills on Resume: 

• Superbill Entry (Hard Skills)
• Charge Reconciliation (Hard Skills)
• Budget Management (Hard Skills)
• Schedule Setting (Hard Skills)
• Insurance Billing (Hard Skills)
• Front Office Support (Soft Skills)
• Authorization Handling (Hard Skills)
• Inventory Management (Hard Skills)