243 jobs found

Insurance Biller The Insurance Biller is responsible for billing (UB04 and 1500 forms), follow-up and accounts receivable activities for Insurance claims for Hospital and RHC. This position is part of Billing Services and includes insurance in the following classifications: Medicare Medi-Cal Managed Medi-Cal Insurance Worker’s Compensation Crossover Qualifications: High School Diploma/GED. Computer experiences required. Experience in healthcare or medical related billing (UB04 and 1500) Knowledgeable in CPT/HCPC codes, diagnosis, medical terminology. Able to understand RAs and EOBs. Job Requirements: Billing all Insurance claims. This includes Hospital, Outpatient, Clinic and SNF claims, with daily focus on attaining productivity and quality standards. Electronic Billing Hardcopy Billing Monitor accounts receivable daily through collector work lists (ATB). Responsible for all...

Insurance Agent The Insurance Agent is responsible for providing clients with comprehensive insurance solutions tailored to their needs. This position plays a key role in building strong client relationships, identifying coverage needs, and recommending appropriate policies. The Agent specializes in providing his/her clients with insurance policies that protect them against damage, illness, theft or death. Primary objective of this professional is to sell policies that will meet the requirement of the client. The agent is also responsible for growing the agency’s book of business by developing new leads, managing existing accounts, and delivering exceptional service that promotes client satisfaction and retention. He/she needs to obtain new clients and raise the clientele of the organization. An agent is the representative of an insurance company and is considered as the first point of contact. The Insurance Agent responsibilities involve providing information about the various...

Overview: Researches and review claims for accuracy and to ensure payer specific guidelines are met for correct billing to third party payers. Makes payer calls, and/or utilizes payer portals/resources systems to pursue payment of third party claims. Make appropriate determinations for contractual adjustments, verifies system balances, calculates and post adjustments. Ensure financial integrity of Central Florida Health by processing and expediting billing and collection processes. Responsibilities: The Insurance Claims Support Specialist is responsible for a wide range of administrative and operational tasks, including but not limited to: Managing the intake and separation of incoming mailed correspondence from insurance payers, ensuring documentation is properly reviewed and accurately batched for scanning. Serving as a liaison for Insurance Claim Specialists by coordinating outgoing mail and faxes to patients and insurance payers. Reviewing and evaluating paper claims,...

37.5 work week! Hybrid RESPONSIBILITIES Provide supervision and leadership within the department for assigned accounting, financial and treasury functions and projects. Act as project leader on strategic initiative teams established within the department and across the organization. Represents F&IS in cross functional company initiatives.  Monitor, research and define new or amended GAAP/NAIC regulations and develop and coordinate system changes as required as well as provide any necessary training. Establish, modify, document, and coordinate the implementation of accounting procedures and controls. Review and maintain existing processes and procedures to ensure content and accuracy. Represent F&IS at meetings related to area of expertise. Prepare, gather and present material; develop meeting agendas, clearly document decisions, and communicate with staff. Provide supervision and oversight for the preparation,...

Elevate Your Career with Zander   At Zander, we believe top talent deserves top pay. We offer industry-leading compensation packages and a supportive, dynamic work environment designed to help you succeed and grow. As a 100-year-old company experiencing remarkable growth year over year, we offer stability and opportunities in a thriving market. And our carrier representation is the broadest in the industry, meaning you’ll have everything you need to excel in your role and deliver the best solutions for our clients.   Why Zander? Free, Top-Quality Leads : No cold calling! We provide exclusive, pre-qualified leads to set you up for success, at no cost to you.   Unmatched Compensation: Industry-Leading Salary + Performance Incentives Guaranteed Comp Increases 401(k) Match : Benefit from a 5% dollar-for-dollar company match. Financial Growth : As part of our Employee Stock Ownership Plan (ESOP), all employees join in our success through the distribution of...

Join Our Award-Winning Team as an Insurance Agent/Producer! Forbes has recognized Hoosier Hills Credit Union as one of Indiana’s Top Three Credit Unions again in 2025 , for the third consecutive year ! Are you passionate about helping people find the right insurance products to meet their needs? Do you have experience in insurance and enjoy building strong relationships with clients? If you’re eager to make a positive impact on our members’ lives and the community, we’d love to meet you! Location: This job is based in Greendale, IN. This position travels to best serve Members and Insureds throughout our service area. What We Offer: Competitive Salary : $45,000 per year Base salary + commission (compensation program shifts to lower base, higher commission over a three-year period as you build your member base.) Comprehensive Benefits Package : Including health insurance, retirement plans, paid time off, and much more. Impactful Work : Your...

Description: The Customer Service Representative works under close supervision to provide customer service to our members for our health, dental, and vision plans by performing the following duties.   Receives telephone inquiries regarding various aspects of the group health, dental, and vision program such as claims, eligibility, and coverage questions. Educate members on plan benefits, coverage limitations, and coinsurance/deductibles/out-of-pocket maximums using plain, clear language. Protect member privacy and comply with HIPAA and company policies to verify caller and ensure proper documentation is on file before releasing protected health information   Maintain accurate record keeping for member providing summary of call, listing any actionable items, creating follow-up tasks when necessary, and indicating resolution of call.     Navigate multiple systems while assisting members to search for information in knowledge base system, claims payor systems, and benefits...

Overview Join our dynamic team as a Commercial Insurance Account Manager, where your expertise will drive client success and business growth! In this energetic role, you will manage a diverse portfolio of commercial insurance accounts, providing tailored solutions that meet our clients’ unique needs. Your proactive approach and excellent communication skills will foster strong relationships, ensuring customer satisfaction and retention. Responsibilities Include: Develop and maintain robust relationships with existing clients. Conduct comprehensive analysis of clients’ insurance needs to recommend appropriate coverage options. Negotiate policy terms, premiums, and coverage details with clients and insurance carriers. Work directly with customers to review and analyze appropriate insurance coverages, and recommendations. Manage account servicing tasks, including processing quotes, policy changes, and renewals efficiently. Provide exceptional customer service by...

Full job description Growing independent insurance agency is looking for the right person to join our team in a Personal Lines Account Manager position. Candidate should have prior insurance agency or company experience and prior customer service experience and must be proficient in Microsoft online platforms including word and excel. Candidate must also be comfortable interacting with clients, carrier underwriters, and carrier marketing representatives. Responsibilities include: Work directly with customers to review and analyze appropriate insurance coverages, and recommendations. Handle policy renewals, change requests, inquiries, and other daily customer needs. Develop insurance renewal strategies and initiate marketing process directly with carriers. Collaborate with agency team members to ensure client satisfaction and team success. Recommend and quote additional coverages and/or policies. The position includes quoting and processing new and renewal...

About Us: We are one of the largest mechanical, electrical, and plumbing contractors in Indiana and among the preeminent specialty contractors in the nation. We specialize in a full range of new and retrofit construction for industrial, food processing, commercial, institutional, healthcare, pharmaceutical, and bio-fuel projects. Job Summary: Shambaugh & Son L.P. is seeking a Contract Insurance Specialist. This position will report to our Sr. Vice President & General Counsel, and will provide timely and professional insurance contracting advise to our legal, finance, and purchasing departments, while supporting the growth of our construction company. #shambaugh #LI-TS #LI-onsite Essential Duties & Responsibilities: Provide support to the corporate legal team during contract reviews by examining client contracts for appropriate insurance requirements and limits, indemnity language, and customer required coverages. Redline terms to comply with...

Overview About the Role The primary purpose of the Patient Access Representative position is to interview all patients in a professional and courteous manner. Completes efficient and timely patient arrivals and registration functions. This includes, but is not limited to, Inpatient, Outpatient, Emergency Department, and Pre-Registration. Electronically enters accurate patient demographic information into University Hospital computer system and obtain signatures on all required documentation. Confirms required insurance precertification, authorization and documentation is obtained for billing and medical record processing. Responsibilities What You’ll Do   Obtains and electronically inputs patient demographics and insurance information into the hospital computer system, thoroughly verifying the information presented by the patient. Ensures efficient, accurate and timely patient registrations and arrivals. Interviews all patients...

Director, Fraud Prevention and Program Oversight POSITION SUMMARY /RESPONSIBILITIES Community First Health Plans, Inc. (Community First) is an HMO providing health care services to Medicaid and CHIP, Medicare, Marketplace, and Commercial recipients. Community First must ensure that all operations are aligned with the regulatory requirements of the Texas Health and Human Services Commission (HHSC), the Texas Department of Insurance (TDI), the Centers for Medicare and Medicaid Services (CMS), and the National Association of Insurance Commissioners (NAIC). The Fraud Prevention and Program Oversight Director leads the organization’s efforts to prevent, detect, investigate, and remediate fraud, waste, and abuse (FWA) across all product lines. The role ensures program integrity by setting organizational standards, strengthening internal controls, and overseeing the Special Investigations Unit (SIU) operations, payment integrity analytics, and vendor oversight. The role...

Manager, PB Pre-Bill, Eligibility, and Financial Clearance Position Summary The Manager of Physician Pre-Bill, Eligibility, and Financial Clearance is a key leadership role within the Revenue Cycle, responsible for the strategic and operational oversight of the front-end financial integrity. This position serves as the primary architect for ensuring that all physician services—spanning primary care and various specialties—are medically authorized, financially cleared, and accurately billed before submission. The Manager leads a multi-functional team dedicated to the critical lifecycle of a claim starting with the verification of complex eligibility, the securing of VA and Medicaid authorizations, and the management of the Financial Clearance process. A significant focus of this role is patient advocacy and risk mitigation; the Manager oversees programs for Charity Care and Pending Medicaid, ensuring that uninsured or underinsured patients are...

Looking for a leadership role where your work truly matters? We are seeking an experienced and compassionate Administrator to lead our non-profit, continuum of care campus in the welcoming, close-knit rural community of Saint Francis, KS. This is more than an administrative role—it’s an opportunity to build relationships, lead a dedicated team, and make a visible difference in the lives of residents and families every day. *Why You’ll Love This Role* * *Meaningful Leadership:* Lead a campus where residents are known by name and care is personal—not corporate. * *Continuum of Care Setting:* Support residents across three levels of care, ensuring smooth transitions and consistent, quality experiences. (30 SNF beds, 10 AL apartments, and 9 IL units) * *Supportive Team Culture:* Work alongside committed department leaders and staff who value collaboration and communication. * *Balanced Leadership:* Hands-on and strategic—this role allows you to lead people, not just manage processes....

Benefits Analyst POSITION SUMMARY/RESPONSIBILITIES Provides administrative support for all the University Health insurance plans for employees and house staff. Support includes, but is not limited to providing benefit information to employees, ensuring the proper application of benefits plans, procedures, policies and programs. Acts as liaison to carriers, plan administrators and third party providers in the investigation and resolution of complex benefit coverage matters. Assists plan participants in the determination of benefit plan provisions and limitations. Processes and audits insurance invoices, claim reports and identifies errors and trends. Responsible for a working knowledge of legislative issues and laws that affect benefit administration. Assists all employees, visitors and callers in a manner that is consistently courteous, professional, responsive, timely and accurate. EDUCATION/EXPERIENCE Bachelor’s degree in Human Resources, Finance or...

Financial Analyst Citizens Memorial Hospital in Bolivar, Missouri, is seeking an experienced Financial Analyst to join our Accounting Department. CMH is made up of 34 primary and specialty clinics, 6 long-term care facilities, and 1 residential care facility. Offering acute care, emergency services, ambulatory care, pharmacies, walk-in clinics, addiction recovery, rehab services and more, CMH has its community covered! About the department: The CMH Accounting Department coordinates with all CMH departments to obtain and produce financial information for use by managerial / supervisory staff that will enhance their ability to make managerial decisions and to produce required reports for outside agencies. A typical day will include: Performing functions related to the preparation of organizational reports using Microsoft Office programs Maintaining database and rebuilding with annual/biannual changes Assembling department budget files...

SENIOR BUDGET ANALYST About Us: At Sinai Health System d/b/a Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests, and treatments, it is about really caring for people with dignity and respect. That is what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you. Position Purpose: The Senior Budget Analyst is responsible for creating, coordinating and optimizing the processes for annual planning, budgeting, forecasting, financial reporting, variance analysis, capital procurement, position control, and hospital productivity. This position requires handling of confidential information and a professional approach to work. Performs other related duties as assigned. This position reports to the Director of Budget & Forecasting. Key Job Activities: Collaborates with stakeholders and timely create, presents and...

Location US-UT-Salt Lake City Job Category Claims and Investigation Position Type Regular Full Time Req ID 43222 Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good! Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses. We are looking for an experienced and highly skilled professional to contribute to our dynamic team. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service. Key Responsibilities: Conduct on-site inspections and assessments of property damages for both residential...

Location US-CA-Van Nuys Job Category Claims and Investigation Position Type Regular Full Time Req ID 43656 Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good! Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses. We are looking for an experienced and highly skilled professional to contribute to our dynamic team. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service. Key Responsibilities: Conduct on-site inspections and assessments of property damages for both residential and...

About Kuvare Kuvare is on a mission to serve hardworking consumers overwhelmed by the complexities of retirement and is built from the ground up to do so. Our unified financial hub protects the retirement of everyday Americans and the distributors, carriers and investors that serve them. We create life insurance and annuity products that protect consumers’ retirements, and are simplified for distributor partners and financial professionals to sell and service. Kuvare family of companies: Retail Annuity and Life Insurance Solutions: - United Life Insurance Company - Guaranty Income Life Insurance Company - Lincoln Benefit Life Institutional Insurance: - Kuvare Life Re Bespoke Insurance Solutions: - Ignite Partners About the role Actuarial Directors are part of the Actuarial team.  The team covers an array of specialties including Pricing and Product Development, Life and Annuity Valuation, Modeling and Forecasting, Product Management, Asset...