Responsible for assisting with the day-to-day operations of the coding department including but not limited to: supervision of departmental caregivers, addressing coding issues/questions, overseeing QA audits, and identifying/participating in operational improvements within the coding department.
Compensation
The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $34.26 - $53.96
Responsibilities
Supervision of departmental caregivers
Addressing coding issues/questions
Overseeing QA audits
Identifying/participating in operational improvements within the coding department
Navigate Epic EMR including applicable reports and work queues
The Regulatory Filing Consultant I is a developing professional within the Corporate Underwriting State Filings unit. The position supports the research, preparation, submission, tracking and implementation of Property & Casualty rate, rule and form filings.
Compensation
Salary range $75,000 to $800,000. Ultimate salary offered will be based on factors such as applicant experience and geographic location. Our company offers a competitive benefits package and bonus eligibility on top of base.
Responsibilities
Research and analyze Property & Casualty statutes, regulations, bulletins and filing requirements across 52 jurisdictions.
Manage routine and moderately complex bureau and independent filings for assigned lines of business with appropriate guidance and review.
Prepare filing materials, track regulator correspondence, maintain accurate records and initiate implementation requests after approval.
Participate in compliance monitoring, circular review, system-maintenance activities and process-improvement efforts.
Research Property & Casualty statutes, regulations, bulletins and filing requirements using state insurance department websites, SERFF, ISO, APCIA, NCCI and other approved resources.
Requirements
Bachelor's degree preferred
Nice to have: AINS
Nice to have: ACPU
Nice to have: CPCU coursework
Nice to have: Property & Casualty underwriting experience
The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding balances and secure accurate and timely adjudication.
Responsibilities
Performs online account status checks and contacting payers to follow-up on outstanding claim balances of assigned accounts in work queues.
Clearly documents in EMR system the patient account notes, the payment status of the account, and/or actions taken to secure payment.
Requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing.
Performs required actions to resolve the account balance promptly by submitting appeals, correcting account information, coordinating requests for medical records, requesting and/or performing posting of account adjustments, requesting an account rebill and any and all other actions necessary to secure account payment and/or bring the account to successful closure.
Documents, tracks, and ensures a reasonable turnaround time of receipt of any outstanding documents required from external departments.
Requirements
Experience in the healthcare setting or educational coursework
One (1) year experience in physician’s office or hospital setting
Training: PC skills and keyboarding Working knowledge of 10 key, typing and computers. Proficiency in Microsoft Office
The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding balances and secure accurate and timely adjudication.
Responsibilities
Performs online account status checks and contacting payers to follow-up on outstanding claim balances of assigned accounts in work queues.
Clearly documents in EMR system the patient account notes, the payment status of the account, and/or actions taken to secure payment.
Requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing.
Performs required actions to resolve the account balance promptly by submitting appeals, correcting account information, coordinating requests for medical records, requesting and/or performing posting of account adjustments, requesting an account rebill and any and all other actions necessary to secure account payment and/or bring the account to successful closure.
Documents, tracks, and ensures a reasonable turnaround time of receipt of any outstanding documents required from external departments.
Requirements
Minimum Required: Experience in the healthcare setting or educational coursework
Preferred/Desired: One (1) year experience in physician’s office or hospital setting.
Preferred/Desired: Knowledge of ICD-9, ICD-10, CPT and HCPCS codes and certification and/or degree in Healthcare Administration Business, Finance or related fields
Supports the Commercial Underwriting team by processing policies and quotes, reviewing applications, rating new and renewal business, calculating premiums, and assisting Underwriters with quotes and endorsements.
Compensation
Competitive salary paired with a comprehensive benefits package
Responsibilities
Read and comprehend written documents including insurance and policy terms and other factual information
Review applications and requests for policy changes to ensure information is accurate to complete the rating process, and report to the Underwriter accordingly
Rate policies and changes in such policies, utilizing the company's rating/publishing system
Assist in contacting Underwriting personnel to discuss quotes, renewals, applications, changes and underwriting issues
Maintain proficiency in the use of the company's rating/publishing system
Requirements
Nice to have: Previous Property/Casualty Commercial Lines Insurance experience
Nice to have: Previous experience with insurance rating/publishing system(s)
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