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Company Description By working at Harvard University, you join a vibrant community that advances Harvard's world-changing mission in meaningful ways, inspires innovation and collaboration, and builds skills and expertise. We are dedicated to creating a diverse and welcoming environment where everyone can thrive.Why join Harvard University Central Administration?Harvard University's Central Administration (CADM) is a 5,000+ employee organization that supports the university's overall excellence by understanding and serving the needs of its schools, students, faculty, staff, alumni, and surrounding communities. Through dynamic and collaborative partnerships, CADM provides high-quality and efficient services to the schools to help them achieve their goals. Job Description Harvard FCU is one of the fastest growing credit unions in the country and a leader in our industry. As a not-for-profit cooperative, we put our members’ best interests first in all that we do.&nbsp;We are passionate about service and fanatical about solving problems. Integrity and transparency are the foundation of Harvard FCU’s philosophy.&nbsp;Our mission is to enhance our members’ lives by developing and offering trustworthy products that are easy to understand, easy to use and best suited to meet their financial needs.Harvard FCU:&nbsp;<a href="https://harvardfcu.org/&amp;nbsp" target="_blank">https://harvardfcu.org/&amp;nbsp</a>;Harvard Federal Credit Union (Harvard FCU) is seeking an Assistant Branch Manager! Our ideal candidate will focus on providing exceptional customer experience in all member touchpoints including in person, phone, and digital interactions and communications. In addition, they will be responsible for assisting the Branch Manager, and providing timely, accurate service to all members. While this position will train at one of our locations, its primary branch will be One Brigham Circle (opening later this summer). The branch location is subject to change, based on business needs.Job-Specific Responsibilities: As a key leadership position, the Assistant Branch Manager leads by example and is responsible for assisting the Branch manager in the day-to-day branch operations. Typical responsibilities:&nbsp;<ul><li>Assist the Branch Manager:<ul><li>with training, coaching, and mentoring staff at all levels. Coordinate with the Learning and Development department to ensure staff training needs are met.</li><li>with staff scheduling and vacation requests in the Branch Manager's absence.</li><li>to prepare for team meetings and huddles; facilitate meetings in the Branch Manager's absence.</li></ul></li><li>Resolve personnel issues as they arise, escalating issues to the Branch Manager as appropriate.</li><li>Contribute to staff performance reviews and providing recommendations for promotions.</li><li>Ensure efficient branch operations.</li><li>Oversee cash handling and financial transactions. 
&nbsp;</li><li>Support:<ul><li>staff with difficult members and complex issues; main point of contact for escalated member cases.</li><li>marketing and community outreach efforts, and develop strong working relationships within the community to encourage member retention and growth.</li></ul></li><li>Coach staff on sales techniques and support them meeting growth and sales goals.</li><li>Serve as a subject matter expert on transaction processing and Harvard FCU products and services.</li><li>Maintain Credit Union operating methods, policies, and procedures, and evaluate and implement improvements.</li><li>Develop and maintain a comprehensive knowledge of all systems used in the Retail department.</li><li>Work with Business Applications and IT to troubleshoot routine systems issues and assist the Branch Manager in resolving complex and ongoing system issues.</li><li>Monitor Slack channel to ensure questions are addressed in a timely fashion.</li><li>Increase member satisfaction through problem resolution and the Harvard FCU member appreciation program.</li><li>Identify opportunities for new business and business accounts.</li><li>Complete required annual training for Bank Secrecy Act (BSA); complete Currency Transaction Reports (CTRs), adhere to the Customer Identification Program (CIP) Policy, report suspicious activity to the BSA Officer, perform Office of Foreign Assets Control (OFAC) inquiries, complete compliance courses, and branch robbery procedures.</li><li>Travel at late notice to provide coverage at any branch, depending on the needs of the business.</li><li>Other duties as assigned.</li></ul> Qualifications Basic Qualifications: Basic Qualifications are the minimum threshold a candidate must meet in order to be considered for this role.<ul><li>High school graduate or equivalent.</li><li>2+ years of related banking/credit union experience required.</li></ul>Additional Qualifications and Skills: The following qualifications are strongly preferred. If you meet some, but not all, you are still encouraged to apply; we value employees with a willingness to learn.<ul><li>Bachelor's degree.</li><li>Previous supervisory experience preferred.</li><li>Demonstrated ability to lead, coach, and motivate others.</li><li>Familiarity with federal and state banking regulations.</li><li>Enthusiasm, and excellent interpersonal, communication, and computer skills.</li><li>Proven customer service and problem-solving skills.</li><li>Ability to speak Spanish.</li><li>Comfort working in the diverse and multicultural environment of Harvard University and affiliate organizations.</li><li>Must be eligible to become a registered Notary Public.</li></ul> Additional Information <ul><li>Standard Hours/Schedule: 35 hours per week<ul><li>Branch Operation Hours: Monday-Friday, Typical Hours are 8:45 am -4:15 pm</li><li>One Saturday a month on average 8:00-12:30</li><li>Occasional after-hours meetings</li></ul></li><li>Visa Sponsorship Information: Harvard University is unable to provide visa sponsorship for this position</li><li>Pre-Employment Screening: Credit, Criminal, Education, Identity, Prohibited Parties (OFAC - Office of Foreign Assets Control)</li><li>Other Information:<ul><li>Please provide a cover letter and resume as one document with your application.</li><li>This position has a 90-day orientation and review period.</li></ul></li></ul>Work Format DetailsThis position is based on-site at a Harvard campus location. Additional details will be discussed during the interview process. Certain visa types may limit work location. Individuals must meet work location sponsorship requirements prior to employment.&nbsp;
Salary Grade and RangesThis position is salary grade level 055. Please visit &nbsp;<a href="https://hr.harvard.edu/salary-ranges" target="_blank">Harvard's Salary Ranges</a>  to view the corresponding salary range and related information.&nbsp;
BenefitsHarvard offers a comprehensive benefits package that is designed to support a healthy work-life balance and your physical, mental and financial wellbeing. Because here, you are what matters. Our benefits include, but are not limited to:&nbsp;<ul><li>Generous paid time off including parental leave&nbsp;</li><li>Medical, dental, and vision health insurance coverage starting on day one&nbsp;</li><li>Retirement plans with university contributions&nbsp;</li><li>Wellbeing and mental health resources&nbsp;</li><li>Support for families and caregivers&nbsp;</li><li>Professional development opportunities including tuition assistance and reimbursement&nbsp;</li><li>Commuter benefits, discounts and campus perks&nbsp;</li></ul>Learn more about these and additional benefits on our <a href="https://hr.harvard.edu/benefits-wellbeing" target="_blank">Benefits &amp; Wellbeing Page</a>.&nbsp;
EEO/Non-Discrimination Commitment StatementHarvard University is committed to <a href="https://hr.harvard.edu/sites/g/files/omnuum6281/files/2025-04/reaffirmation_statement.pdf" target="_blank">equal opportunity</a> and <a href="https://provost.harvard.edu/sites/g/files/omnuum3356/files/2025-07/non-discrimination_and_anti-bullying_policies.pdf" target="_blank">non-discrimination</a>. We seek talent from all parts of society and the world, and we strive to ensure everyone at Harvard thrives. Our differences help our community advance Harvard's academic purposes.Harvard has an <a href="https://hr.harvard.edu/sites/g/files/omnuum6281/files/2025-04/reaffirmation_statement.pdf" target="_blank">equal employment opportunity policy</a> that outlines our commitment to prohibiting discrimination on the basis of race, ethnicity, color, national origin, sex, sexual orientation, gender identity, veteran status, religion, disability, or any other characteristic protected by law or identified in the university's <a href="https://provost.harvard.edu/sites/g/files/omnuum3356/files/2025-07/non-discrimination_and_anti-bullying_policies.pdf" target="_blank">non-discrimination policy</a>. Harvard's <a href="https://hr.harvard.edu/sites/g/files/omnuum6281/files/2025-04/reaffirmation_statement.pdf" target="_blank">equal employment opportunity policy</a> and <a href="https://provost.harvard.edu/sites/g/files/omnuum3356/files/2025-07/non-discrimination_and_anti-bullying_policies.pdf" target="_blank">non-discrimination policy</a> help all community members participate fully in work and campus life free from harassment and discrimination.

Harvard University FAS Human Resources

Assistant Branch Manager

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Insurance Specialists are responsible for accurately identifying insurance claims denials and conducting payor follow up. Must have 2 years of experience of UB04 follow up in a hospital setting.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Resolve unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved.</li><li>Review medical documentation such as UB04 claim forms, EOB’s and medical records to determine the appropriate course of action for claim resolution.</li><li>Maintain familiarity with client preferences and known issues.</li><li>Meet monthly production and quality expectations.</li><li>Comply with HIPAA privacy laws.</li><li>Other duties as assigned.</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>High School Diploma or equivalent</li><li>At least 2 years of hospital AR claims follow up experience required</li><li>Knowledge of UB04 claim forms, EOB’s and medical records preferred</li><li>At least one year of Epic EMR experience preferred</li><li>Knowledge of basic computer functions</li><li>Ability to work effectively in a remote environment</li><li>Strong verbal and written communication skills</li><li>Basic mathematics skills (addition, subtraction, calculate percent, etc.)</li><li>Ability to analyze and interpret documents, contracts, notes, and other correspondence</li><li>Ability to multitask in a fast-paced environment</li><li>Organization skills with a strong attention to detail</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth

Insurance Specialist (Claims Follow Up)

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>** Must reside in Hawaii to be considered**</li><li>Resolve complex, higher-dollar unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved.</li><li>Identify and report trends found during the account resolution process such as CPT/HCPCS errors/deletions, duplicate claims, revenue code mapping mismatches, missing charges, no claim on file.</li><li>Perform financial account assessment functions including but not limited to adjustments and NRP to patient. Work within client systems to complete rebill functions.</li><li>Perform administrative functions including but not limited to medical record submissions, billing claims, patient assistance outreach, obtaining documents from client systems and insurance plan code updates, review corrected claim requests and approve for client assistance or correct the bill within client platform, review and submit payment verification assistance requests.</li><li>Maintain familiarity with client preferences and known issues across multiple client accounts.</li><li>Support special projects for clients as needed.</li><li>Other duties as assigned.</li></ul>QUALIFICATIONS<ul><li>High School Diploma or equivalent </li><li>3+ years relevant industry experience in registration, billing, collections, required</li><li>3+ years experience with insurance carrier claims resolution, required</li><li>3+years of Epic, Cerner, Meditech or other EMR experience preferred</li><li>Knowledge of UB04 claim forms, EOB’s and medical records required</li><li>Experience with Hawaii payors.</li><li>ICD-9, ICD-10, CPT and HCPCS coding knowledge required</li><li>Ability to conduct detailed research to resolve complex claims</li><li>Intermediate mathematics skills (addition, subtraction, ability to identify trends, etc.)</li><li>Advanced knowledge of Excel and Power Point</li><li>Ability to compile and summarize data</li><li>Strong verbal and written communication skills</li><li>Ability to analyze and interpret complex documents, contracts, notes, and other correspondence</li><li>Ability to prioritize and multitask in a fast-paced environment</li><li>Ability to work effectively in a remote environment</li><li>Investigative mind set to identify issues and implement solutions.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Insurance Specialist - Hawaii

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>Responsible for collecting and entering complete and accurate demographic and insurance information prior to the patient’s arrival. Verifying that the pre-certification requirements of the insurance companies have been met. Verifying the benefits coverage and quantifying the patient liability portion. Contacting the patient, the day before arrival to remind them of the appointment, set the expectation for payment, and answer any questions the patient may have.</li></ul>Essential Functions<ul><li>Pre-registers Outpatients, and Inpatients</li><li>Verifies that the insurance coverage is in effect, determines the amount of coverage &amp; patient liability</li><li>Verifies that Pre-certification has been obtained whenever appropriate &amp; works with the Physician’s office staff to obtain it whenever needed</li><li>Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment</li><li>Contacts scheduled patients the day prior to their appointment to confirm they are coming and verify that all demographic &amp; insurance information is correct</li></ul>Knowledge/Abilities/Skills/Expectations<ul><li>Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision</li><li>Must be able to work in a stressful environment and take appropriate action</li></ul> QualificationsEducation<ul><li>High school diploma or equivalent Required</li></ul>Licenses/Certifications<ul><li>HFMA’s Certified Patient Account Representative (CPAR) designation preferred</li></ul>Experience<ul><li>3 to 5 years in customer service focused environment</li></ul>

St. Francis-Emory Healthcare

Senior Insurance Verification Specialist

Description:
OUR CULTUREOur organization believes we can all do well by doing good. We value the contributions of diverse minds and prioritize the success and wellbeing of our employees. We also believe every person in our organization plays a role in supporting a healthy environment and helping to achieve our goal of prosperity for all. To this end, we recruit bright, energetic, and talented people to be members of our team. In return, we offer a dynamic workplace that presents opportunities for professional advancement and individual growth. We strive to always display integrity, self-awareness, courage, and respect for one another while continuing to seek opportunities to learn. We really believe that when our employees succeed, our community wins. ABOUT THE POSITIONThe primary functions of this role are to communicate with members and potential members, drive brand awareness, build relationships internally and externally that result in member retention and growth, provide a world-class experience by clearly and effectively communicating products and services, and accurately handle member related transactions. The Member Experience Representative is responsible for establishing a collaborative environment within the Member Experience Center that leverages technology to best discover and address member needs, and services. NORMAL DAY-TO-DAY WORK<ol><li>Promptly respond to communication and inquiries from members and potential members via various communication channels (including but not limited to: email, phone, web chat, text message, video conference, and social media via third party software).</li><li>Act as the primary source of information for membership eligibility requirements.</li><li>Serve as the front-line problem solver to address member concerns as well as complaints. Involve appropriate resources, such as fulfillment team, lending department, and management as necessary.</li><li>Identify, recommend, and cross-sell appropriate products and services to new, existing, and potential members. Promote Credit Union products and services while delivering high quality service with accuracy.</li><li>Provide quality service to members, potential members and the community while achieving established qualitative and quantitative service level metrics.</li><li>Assist in online banking access including troubleshooting problems and errors for device and browser issues.</li><li>Demonstrate continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively within the team.</li><li>Use tact and experience-based knowledge to resolve member issues and concerns by explaining policies and products while representing the Credit Union in a professional manner.</li><li>Stay abreast of all member service policies and procedures, ensuring the quality as well as compliance on all member-facing interactions.</li><li>Take ownership for actions, decisions, and results; openly accept feedback and demonstrate both the willingness and ability to improve.</li></ol> JOB QUALIFICATIONSHere are a few qualifications you MUST have to be qualified for this position.<ol><li>Minimum 1 – 3 years of customer service experience, or a Bachelor’s degree.</li><li>Must be team oriented, results driven, and self-motivated.</li><li>Must be able to manage multiple priorities and accounts in fluid environment while maintaining accuracy in all details.</li><li>Must be able to work onsite at Credit Union administrative headquarters.</li><li>Must be able to work 8-hour shifts within core operating hours (8:00 am – 6:00 pm), as well as the occasional weekend and holiday.</li><li>Ability to function in a Consumer business office environment and utilize standard office equipment including but not limited to: PC, copier, telephone, etc.</li><li>Ability to lift a minimum of 25 lbs. (file boxes, computer printer).</li><li>Travel required on occasion.</li></ol>Here are a few qualifications we’d LIKE for you to have.<ol><li>Four-year degree from accredited college/university.</li><li>Call center experience.</li><li>Knowledge of financial products and services, mobile and on-line banking a plus.</li><li>Experience using on-line banking services preferred.</li><li>Must be comfortable using various technology platforms.</li><li>Excellent verbal, written, telephone and interpersonal communication skills.</li></ol> CONTACT USIf you have questions about this position description, please feel welcome to ask. You can reach HR at:Human Resources3600 Wake Forest Rd, Raleigh, NC 27609<a href="mailto:careers@civicfcu.org" target="_blank">careers@civicfcu.org</a>

Requirements:
 PI278310720

Local Government Federal Credit Union

Member Experience Representative

Description:
The VP, Member Services leads the strategic direction of the Member Experience staff as well identifies, prioritizes and implements improvements that provide members an extraordinary experience. Responsible for significant contributions to determining the strategies to be utilized to meet member service needs at the interaction channels that focus on resolving member’s communication needs. Simplify processes and solve member’s problems to help them thrive financially. Evaluate and recommend current technology, processes and workflows to ensure the Credit Union continues to be a best-in-class financial institution. Responsible for the recruitment, onboarding and training of the Member Experience staff and talent.&nbsp; NORMAL DAY-TO-DAY WORK<ol><li>Manage all member communication touchpoints, including the strategic formation of member touchpoints, including phone calls and electronic communication channels to ensure that service levels are met.&nbsp;</li><li>Establish and monitor quantitative and qualitative service level metrics to achieve excellent service for internal and external members as well as departmental goals in support of the Credit Union’s strategic plan.&nbsp;</li><li>Collaborate with peers across the organization to champion a member-first culture by ensuring that all policies, procedures, and practices support outstanding service. Continuously assess the member journey to identify pain points, opportunities, and innovations to enhance the overall member experience.</li><li>Keep abreast of new rules and regulations that may impact delivery of financial products and services and ensure compliance. Also stay up to date on emerging security concerns by leading effective account opening strategies and fraud prevention methods. Utilize tact and experience-based knowledge to resolve member issues/concerns by explaining policies and products.&nbsp;</li><li>Serve as the liaison to third party vendors that assist in the delivery of relevant financial products and services. Maintain a positive working relationship with outside vendors to resolve problems and remain current on new product development. Negotiate and maintain applicable contracts.</li><li>Ensure compliance with audit and security standards, policies and procedures and loss prevention measures. Maintain and monitor member experience files with appropriate documentation in a secure manner in compliance with established guidelines policies and regulations. Ensure confidentiality of member information and that all disclosures are made to members as applicable.</li><li>Partner with Technology and leaders to develop and implement plans for the operational infrastructure of systems, processes and personnel to drive advances for operational excellence and improve the member experience. Leverage people, process and technology to develop innovative strategies, which drive employee effectiveness and enhance the member experience.</li><li>Align strategic goals to operating plans; drives execution and tracks progress to achieving plans. Develop strategies to eliminate issues that lead to member dissatisfaction and unnecessary inbound calls.</li><li>Oversee the daily activity of the Member Experience Center, including assignment of duties and special projects, monitoring workload and productivity, planning and prioritization.</li><li>Hire, coach, and lead a team of member service managers and frontline staff to consistently exceed member expectations.</li><li>Display integrity, self-awareness, courage, and respect for staff while ensuring learning agility and flexibility communicating and delegating effectively. Work effectively, collaboratively, and creatively in a team-oriented environment both internally and externally.</li><li>Take ownership for actions, decisions, and results; openly accept feedback and demonstrate both the willingness and ability to improve.</li></ol>JOB QUALIFICATIONS&nbsp;Here are a few skills you MUST have to be qualified for this position.&nbsp;<ol><li>Minimum 10-12 years related experience in financial services and 4-6 years of management experience.&nbsp;</li><li>Demonstrated success leading a team with a proven track record of delivering results.&nbsp;</li><li>In depth knowledge and a thorough understanding of how technology can be used to improve the member experience.</li><li>Proven leadership skills to provide an aspirational vision and teamwork to drive performance to be the best in industry.</li><li>Must be able to work within core operating hours (8:00am – 6:00pm), as well as the occasional weekend and holiday.</li><li>Ability to function in a Consumer business office environment and utilize standard office equipment including but not limited to: PC, copier, telephone, etc.</li><li>Ability to lift a minimum of 25 lbs. (file boxes, computer printer).</li><li>Travel required on occasion.</li></ol>Here are a few qualifications we’d LIKE for you to have.<ol><li>Bachelor’s degree.</li><li>Ability to innovate and find creative solutions to meeting business goals.</li><li>Demonstrated ability to drive cross-functional initiatives.</li><li>Skilled communicator who influences and negotiates effectively.</li></ol>OUR CULTUREOur organization believes we can all do well by doing good. We value the contributions of diverse minds and prioritize the success and wellbeing of our employees. We also believe every person in our organization plays a role in supporting a healthy environment and helping to achieve our goal of prosperity for all. To this end, we recruit bright, energetic, and talented people to be members of our team. In return, we offer a dynamic workplace that presents opportunities for professional advancement and individual growth. We strive to always display integrity, self-awareness, courage, and respect for one another while continuing to seek opportunities to learn. We really believe that when our employees succeed, our community wins.&nbsp; If you have questions about this position description, please feel welcome to ask. You can reach our HR at:&nbsp;Human Resources3600 Wake Forest Rd, Raleigh, NC 27609&nbsp;<a href="mailto:careers@civicfcu.org" target="_blank">careers@civicfcu.org</a>

Requirements:
 PI278310719

Vice President, Member Services

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.JOB SUMMARY:The Insurance Specialist is responsible for review and resolution of outstanding insurance balances on hospital or physician patient accounts. The Insurance Specialist will be required to have flexibility to learning and comprehending complex hospital systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned hospital receivables are appropriately addressed according to company, client and federal guidelines. Will also call patients and physicans in addition to calling payors.ESSENTIAL DUTIES AND RESPONSIBILITIES:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Effectively manages assigned insurance receivables to achieve business line expectations</li><li>Meets productivity standards as outlined by business line</li><li>Achieves a minimum of 85% work quality scoring and accuracy on all accounts worked</li><li>Completes timely follow-up on assigned accounts to ensure no cash loss</li><li>Meets monthly cash expectations as set out for assigned client receivables</li><li>Ensures insurance accounts are resolved within 90 days of placement</li><li>Demonstrates the ability to prioritize work with some oversight to meet outlined goals</li><li>Perform account research and route accounts through appropriate client workflows</li><li>Ability to understand, navigate and perform research of account within client host systems</li><li>Exceptional understanding of patient accounting systems allowing for ease of transition and learning of new systems as needed by business line</li><li>Clearly documents actions taken and next steps for account resolution in patient accounting system</li><li>Excellent working knowledge of Prism system and displays clear understanding of claim updates, request workflow, and action step entry into the system</li><li>Appropriately makes requests for documentation based on account needs and compliance guidelines</li><li>Ability to navigate billing system to perform basic claim billing functions</li><li>Clearly prepares appeals for payment to insurance company when appropriate</li><li>Ensure strong communication skills to convey intricate account information</li><li>Ensure all accounts are worked within client standards and Federal Regulations</li><li>Maintain high quality account handling per client standards</li><li>Work within federal, state regulations, department/division &amp; all Compliance Policies</li><li>Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications</li><li>Maintain continuing education, training in industry career development</li><li>Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.</li><li>Attends training sessions as directed by management</li><li>Integrate information obtained through training sessions and policy changes immediately into daily routine</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>1 year of experience in a health care receivables environment</li><li>High School Diploma</li><li>Excellent oral and written communication skills, basic computer skills, familiarity with widely used patient accounting software</li><li>Data management skills, attention to detail and accuracy, good problem-solving skills</li><li>Ability to communicate successfully with patients, hospitals, insurance companies and Xtend Employees</li><li>Able to work individually and as part of a team</li><li>Possess ability to concentrate for long periods of time</li><li>Proficient in numeracy skills and above average knowledge of administrative procedures</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Insurance Specialist (Onsite: HI)

CIVIC CULTUREOur organization believes we can all do well by doing good. We value the contributions of diverse minds and prioritize the success and well-being of our employees. We also believe every person in our organization plays a role in supporting a healthy environment and helping to achieve our goal of prosperity for all. To this end, we recruit bright, energetic, and talented people to be members of our team. In return, we offer a dynamic workplace that presents opportunities for professional advancement and individual growth. We strive to always display integrity, self-awareness, courage, and respect for one another while continuing to seek opportunities to learn. We really believe that when our employees succeed, our community wins. ABOUT THE POSITIONThe individual who excels in this position will have demonstrated experience in multiple information security technologies, including, but not limited to: SIEM, SOAR, email security, vulnerability management, network, and endpoint security controls. The individual will also play a key role in deployment, troubleshooting, testing, risk rating, and maintaining cyber security tools, platforms, and programs within the credit union. The successful candidate will display a passion for developing new skills in the field of information security. The Senior Cyber Security Engineer will actively participate in incident response, security program and control implementation, administration, automation, and documentation. The individual will assist internal teams as well as external service providers on technical projects. NORMAL DAY-TO-DAY WORK<ol><li>Research, engineer, design, and implement security solutions to enhance the management of cyber security risks within the credit union.</li><li>Support the day-to-day maintenance of all cyber security applications, including administration, deployment, troubleshooting and maintaining all cyber security tools.</li><li>Create and maintain playbooks, standards, automation, processes, and procedures around security disciplines with a focus on administration of platforms.</li><li>Identify, design and complete regular security audits related to administrative access and activities for security platforms as well as perform regular security audits as required.</li><li>Research, recommend, implement changes and additions to security controls and business application solutions.</li><li>Identify and track metrics related to performance and improvements to related cyber security tools.</li><li>Develop, respond to and investigate alerts related to misuse of credit union technology.</li><li>Create and edit scripts for integration and analysis of all cyber security controls for coverage and effectiveness.</li><li>Serve as a backup for incident response, ensuring readiness to take immediate action in the event of security breaches or system incidents, providing support in containment, analysis, and remediation efforts.</li><li>Stay informed of tools, techniques and components utilized in the industry through research and apply this knowledge to system(s) being secured.</li><li>Work with end-users to identify and mitigate security threats.</li><li>Understand and support team, department, applicable credit union regulations (NCUA), policies and procedures, strategic goals, and vision.</li><li>Take ownership for actions, decisions, and results; openly accept feedback and demonstrate both the willingness and ability to improve.</li></ol>JOB QUALIFICATIONSHere are a few skills you MUST have to be qualified for this position.<ol><li>Minimum 7 - 9 years’ experience in an information security, systems administration or IT engineering role.</li><li>Solid experience and understanding of incident response, vulnerability management, security engineering, security automation, risk rating, network security, threat intelligence and systems administration concepts.</li><li>Experience tuning rules that identify anomalous and/or suspicious behavior within SIEM, IDS/IPS, and similar platforms.</li><li>Ability to work flexible hours and weekends as needed, as well as participate in a 24/7 rotation schedule.</li><li>Ability to function in a Consumer business office environment and utilize standard office equipment including but not limited to: PC, copier, telephone, etc.</li><li>Ability to lift a minimum of 25 lbs. (file boxes, computer).</li><li>Travel required on occasion.</li></ol>Here are a few qualities we’d LIKE for you to have to make you more suited for this position.<ol><li>BA/BS in Information Technology, Information Security, Information Assurance or equivalent experience.</li><li>Experience managing Active Directory, and ADFS.</li><li>Experience with regular expressions and scripting (PowerShell, python, bash, etc.).</li><li>Familiarity with network and systems administration and operations concepts.</li><li>Comfortable with multiple operating systems, including Windows, macOS, and Linux.</li><li>Certifications in one or more Information Security Domains or on security platforms (Security+, GSEC, CISSP, GCIH, GCED, GDSA, etc.).</li></ol> PI278275585

Senior Cyber Security Engineer

Join Delta Dental of Oklahoma, the leading dental benefits provider in the state of Oklahoma.This position will work 40 hours per week.Equal Opportunity Employer - Minority/Female/Disability/VeteranDUTIES:This position will be responsible for reviewing radiographs, narratives and periodontal charting in order to process and pay/deny claims and predeterminations within the delegated authority level, based on DDOK CDT guidelines. Communicate and work closely with the dental consultants on claims which require consultant review and process those claims based on consultant determination. Contact providers and assist with incoming provider calls when additional information is needed or clarification required. This position is also responsible for maintaining assigned workflow queues and ensuring all claims are processed within set Standards of Performance.QUALIFICATIONS:<ul><li>High School Diploma or equivalent.</li><li>Three (3) or more years of chairside dental assistant experience or Certified Dental Assistant.</li><li>Ability to data enter 4500 KSPH alpha &amp; 5000 KSPH numeric.</li><li>A thorough understanding of dental procedure codes and dental terminology.</li><li>Must be able to determine correct procedure benefit and qualifications when reviewing documentation and/or dental radiographs that have been submitted with all claims and predeterminations.</li><li>Ability to view radiographic images with accuracy.</li><li>Working knowledge of Microsoft Word, Outlook, and Excel.</li></ul>ADDITIONAL QUALIFICATIONS FOR CONSIDERATION:<ul><li>Knowledge of the aQden claims processing system.</li><li>A thorough understanding of DDOK's processing policies and how they apply to all contracts in force.</li><li>Expanded chairside dental assisting duties that includes radiographic safety certification/working knowledge of radiographs.</li></ul> For more information, or to apply now, you must go to the website below. Please DO NOT email your resume to us as we only accept applications through our website. <a href="https://deltadentalok.applicantpool.com/jobs/1248976-207587.html" target="_blank">https://deltadentalok.applicantpool.com/jobs/1248976-207587.html</a>

Claims Examiner

Description:
CIVIC CULTUREOur organizations believe we can all do well by doing good. We value the contributions of diverse minds and prioritize the success and well-being of our employees. We also believe every person in our organization plays a role in supporting a healthy environment and helping to achieve our goal of prosperity for all. To this end, we recruit bright, energetic, and talented people to be members of our team. In return, we offer a dynamic workplace that presents opportunities for professional advancement and individual growth. We strive to always display integrity, self-awareness, courage, and respect for one another while continuing to seek opportunities to learn. We really believe that when our employees succeed, our community wins.&nbsp; ABOUT THE POSITIONLoss Mitigation Specialist is responsible for proactively managing delinquent accounts by contacting Credit Union members. This role involves identifying potential risks, working with members to resolve payment issues, providing repayment solutions, and implementing strategies to mitigate loan losses. NORMAL DAY-TO-DAY WORK<ol><li>Provide early and late-stage delinquency management by monitoring loan accounts and identify members who are at risk of becoming delinquent.</li><li>Proactively contact members via phone, email, or other communication methods to discuss their accounts and identify reasons for delinquency</li><li>Work with members to develop repayment plans, loan modifications, or other solutions to bring accounts current.</li><li>Ensure a consultative member approach to restructuring loans as necessary, providing direction on improving the financial outlook of the member in the future.</li><li>Accurately document all member interactions, payment agreements, and actions plans in the core collection system.</li><li>Provide members with information on financial education resources and tools to help them manage their finances and avoid future delinquencies.</li><li>Collaborate as necessary with other internal business units and resources to ensure a coordinated approach to loss prevention.</li><li>Assist the AVP of Risk Assessment and Loss Mitigation with reviewing reports on delinquency trends, member interactions, and recovery efforts.</li><li>Ensure all activities are in compliance with federal and state regulations, as well as Credit Union policies, guidelines, and procedures.&nbsp;</li><li>Take ownership for actions, decisions, and results; openly accept feedback and demonstrate both the willingness and ability to improve.</li></ol> JOB QUALIFICATIONSHere are a few skills you MUST have to be qualified for this position. <ol><li>Minimum 4-6 years experience in consumer loan product collections, financial services or related field.&nbsp;</li><li>Must have an understanding of accounting principles and business financial statements and tax returns.</li><li>Must be knowledgeable in the process of analyzing personal tax returns, personal financial statements, and credit bureau reports.</li><li>Experience with credit procedures, policies, regulations and laws, in addition to knowledge of bankruptcy and consumer law.&nbsp;</li><li>Strong interpersonal skills with ability to work in a team environment.</li><li>Ability to function in a Consumer business office environment and utilize standard office equipment including but not limited to: PC, copier, telephone, etc.</li><li>Ability to lift a minimum of 25 lbs. (file boxes, computer).</li><li>Travel required on occasion.</li></ol> Here are a few qualities we’d LIKE for you to have to make you more suited for this position.<ol><li>Bachelor’s degree in finance, Accounting, Economics, Business or related field required.&nbsp;</li><li>Prefer a minimum of 2-4 years of Credit Union consumer credit experience.</li><li>Knowledge of loan structuring and work-out solutions in desirable.</li></ol> CONTACT USIf you have questions about this position description, please feel welcome to ask. You can reach our HR Department at: &nbsp;Civic Human Resources3600 Wake Forest Road, Raleigh, NC 27609&nbsp;<a href="mailto:careers@civicfcu.org" target="_blank">careers@civicfcu.org</a> 

Requirements:
 PI278249012

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