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Job Title Insurance Authorization Specialist/UKHC Requisition Number RE51858 Working Title Insurance Authorization Specialist Department Name H4027: REV Cycle MGT-PFE Work Location Lexington, KY Grade Level 07 Salary Range $17.50-27.31/hour Type of Position Staff Position Time Status Full-Time Required Education HS Click here for more information about equivalencies: <a href="https://hr.uky.edu/employment/working-uk/equivalencies" target="_blank">https://hr.uky.edu/employment/working-uk/equivalencies</a> Required Related Experience 4 yrs Required License/Registration/Certification None Physical Requirements This position requires regularly sitting at a computer workstation for extended periods of time and performing tasks with repetitive motions (such as typing). Also involves some exposure to loud noises, blood-borne/airborne pathogens, and combative/violent people. Shift Day shift, Monday through Friday, 8:00 am – 4:30 pm. Other days/times as assigned per departmental needs. Job Summary The UKHC Insurance Authorization team seeks an Insurance Authorization Specialist to provide standardization, quality, expertise, and customer service focus to our medical departments. This position will report to the Supervisor, Centralized Authorizations, and will have frequent contact with customers/patients, faculty, physicians, and University personnel. The role will work with third-party payers and providers to ensure payment of tests and procedures before administration of tests and/or procedures. Duties for this position include confirming all necessary information to perform properly and identifying billing information needed to maintain compliance with institutional, state, and federal practices. Basic coding knowledge and proficiency in medical terminology are preferred and recommended. Excellent customer service skills are required. Primary responsibilities will include obtaining pre-certification and pre-authorization of test and medication requests by medical providers and working with medical providers to find suitable alternatives to tests or medications that do not meet pre-certification or pre-authorization requirements. This position will require sitting for long periods and working in a fast-paced environment. The qualified individual must enjoy working in a team-oriented environment and be able to communicate with a diverse patient/customer population. Skills / Knowledge / Abilities Excellent communication skills and the ability to multi-task and stay organized in a fast-paced environment are needed, as well as knowledge of the insurance authorization process. This position requires exceptional customer service skills. Does this position have supervisory responsibilities? No Preferred Education/Experience Associate degree in a healthcare-related field and at least three years of healthcare employment experience preferred. Additionally, experience working in a physician practice and basic coding (CPT, HCPCS and ICD-10) knowledge is also preferred.&nbsp; Deadline to Apply 10/09/2025 Our University Community We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco &amp; Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

Insurance Authorization Specialist/UKHC

Description:
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.&nbsp; ABOUT THE POSITIONThe Facilities Maintenance Technician will be responsible for providing hands-on support to Civic’s various building infrastructure, including corporate buildings and Credit Union branches. This individual will work under the Facilities team to diagnose, troubleshoot, and provide maintenance to building mechanical, plumbing, and electrical. The Facilities Maintenance Technician will also work collaboratively with the Facilities team to ensure Civic buildings are operating smoothly, identify areas for building maintenance improvement, and provide support to staff members regarding various facilities requests.&nbsp; NORMAL DAY-TO-DAY WORK<ol><li>&nbsp;Provide support in facilities management methodology and practices including site maintenance, physical security, health and safety, space planning, environmental stability and other work environment priorities.</li><li>&nbsp;Create and track work requests in an automated database. Collect and quantify detailed facility information at each location, identify and self-perform replacement and repair actions and support vendor preventative and corrective maintenance of building equipment.</li><li>&nbsp;Collect and support staff/tenant inquiries in an expeditions manner, enforce and update building standards as outlined at each respective facility, identify facility and control system deficiencies and recommend upgrades to enhance equipment reliability, overall safety and security of the Credit Union.</li><li>&nbsp;Perform basic repairs of plumbing and electrical equipment and performance associated preventive maintenance.</li><li>&nbsp;Support daily facilities operations, maintenance and repair actions on equipment, systems and grounds throughout our facilities.&nbsp;</li><li>Work with tenants for routine and non-routine support of common facilities related matters.</li><li>Assist with onboarding new staff in relationship to space planning and coordinate with HR and Technology on any special requirements.</li><li>&nbsp;Conduct periodic building inspections under the direction of Facilities management for condition, health, safety and security deficiencies utilizing designated checklists.</li><li>&nbsp;Coordinate the Credit Union’s vehicle fleet operations, including assessing fleet updates, maintenance and replacement needs.</li><li>&nbsp;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.1. Minimum 1-3 years’ experience in Facilities Management, BMS, Fire systems, and supporting various facilities related areas.2. Must possess the knowledge and demonstrate the basic building maintenance skills such as, but not limited to replacing switches and receptacles, lighting repairs, repairing plumbing and drain fixtures, basic knowledge of building automation systems, and install and repair basic door hardware (e.g., locksets, closures and cylinders). Be proficient with the use of LOTO and NFPA 70-3. (Arc flash hazard). Familiar with Occupation and Safety and Health Administration (OSHA) regulations4. Must be able to be on-call as needed, 24/7, on a rotating basis.5. Ability to function in a Consumer business office environment and utilize standard office equipment including but not limited to: PC, copier, telephone, etc6. Ability to lift a minimum of 25 lbs. (file boxes, computer).7. Travel required on occasion. Here are a few qualities we’d LIKE for you to have to make you more suited for this position.1. BA/BS in business, project management, engineering or construction management or related field.2. Familiarity with the building project management and construction.3. OSHA 30 certified.4. Certified Maintenance Reliability Professional, and/or Energy Professional designation.&nbsp; 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:
 PI278499893

Local Government Federal Credit Union

Facilities Maintenance Technician

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 Civic Advisor will play a crucial role in providing superior member experience with enhanced awareness and continued education of existing products and services. This is accomplished by offering digital options, processing accurate and professional member transactions and discovering member centric account solutions. The Civic Advisor will be a part of the member’s journey in exploring financial goals, building trust through operational soundness and becoming a frontline touchpoint for members and staff. At the core, the Civic Advisor will embody Civic’s values, policies and vision while fostering an inclusive environment for both branch staff and members. NORMAL DAY-TO-DAY WORK<ol><li>Demonstrates exceptional member service by providing personalized solutions, creating memorable interactions and exceeding member expectations.</li><li>Builds and fosters relationships with current and potential members to increase their financial well-being.</li><li>Exhibits adept recognition and adjustment to member needs while employing active listening techniques to effectively de-escalate member concerns. Conducts thorough research to address and resolve member inquiries, preparing necessary documentation as needed.</li><li>Maintains and balances assigned cash drawer daily, while following operational procedures and cash limits. Participates in opening and closing procedures, as needed.</li><li>Accurately processes member transaction requests and responds to member inquiries via various channels in a timely manner.</li><li>Provides lobby support and maintains a strong knowledge of products and services available to Civic members, including current promotions. Inform members about products and services other than those requested based on the member’s financial information.</li><li>Assists with in-person opening of deposit and loan accounts by ensuring all information is received timely and accurately processed.</li><li>Explains loan programs to member, evaluates their needs and recommends loan options. Complete member and loan applications and escalate to the lending department as necessary.</li><li>Participate in beta-testing for possible workflow and process improvement and provide feedback to internal/external resources as needed.</li><li>Educates members on digital solutions by providing self-service alternatives to manage finances at their convenience.</li><li>Participates in required meetings and trainings while promoting a positive team environment. Shares knowledge of member feedback and effective practices.</li><li>Collaborates with internal departments to provide a closed-loop experience for member requests.</li><li>Complies with regulation, policies, procedure and operational guidelines. Proactively assesses and mitigates operational risks, ensuring compliance with regulations, audit requests and implements security measures when appropriate.</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>High school diploma or equivalent.</li><li>Excellent verbal, written, telephone and interpersonal communication skills.</li><li>Demonstrated strong customer service skills.</li><li>Notary Public in North Carolina, or ability to achieve in the first 6 months of employment.</li><li>PC proficient, including Microsoft Office (Word, Excel, PowerPoint, Access, Outlook) and the Internet.</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>Credit Union member service experience.</li><li>Knowledge of financial products and services, mobile and on-line banking a plus.</li></ol>If 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:
 PI278523054

Member Service Advisor, Wilmington (Branch Advisor)

Description:
 OUR CULTURE&nbsp;Our 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.&nbsp; ABOUT THE POSITIONThis Member Experience Workforce Manager will be responsible for leading workforce planning and management strategies to ensure optimal resource allocation and achievement of the contact center’s service level targets. This role will oversee call volume forecasting, schedule development, real-time adherence monitoring, and performance analysis to optimize workforce productivity. This individual will demonstrate a strong analytical mindset, excellent communication skills, and the ability to thrive in a fast-paced environment. NORMAL DAY-TO-DAY WORK<ol><li>Develops accurate forecasts of call volume, staffing needs, and workload distribution using historical data, seasonal trends, and business drivers.</li><li>Designs and implements staffing and workforce management models, including capacity plans and long-term staffing strategies to ensure service level goals are met.</li><li>Manages intraday staffing levels to ensure adherence to schedules, adjusting in real time to changes in call volume, absenteeism, or service disruptions.</li><li>Monitors key workforce metrics (ASA, AHT, occupancy, shrinkage, adherence) to maintain performance targets.</li><li>Generates and distributes regular workforce reports (forecast accuracy, schedule adherence, shrinkage, service level, etc.) to leadership.</li><li>Administers workforce management (WFM) systems and ensures accurate data integration from ACD/CRM platforms.</li><li>Continuously evaluates and enhances workforce management technology to improve efficiency and provides actionable insights from performance data to drive operational improvements.</li><li>Leads initiatives to improve scheduling flexibility, agent engagement, and retention through innovative workforce strategies.</li><li>Serves as the subject matter expert on workforce management for the contact center.</li><li>Proactively manages operational challenges, including spikes in call volume or unplanned staff absences, by implementing timely and effective resource allocation strategies.&nbsp;</li><li>Provides data-driven recommendations for staffing adjustments and process enhancements to improve team performance and operational efficiency.</li><li>Partners with operations teams to align workforce strategies with business goals.</li><li>Trains and mentors team members on workforce management tools and best practices.</li><li>Takes ownership of actions, decisions, and results; openly accepts feedback and demonstrates both the willingness and ability to improve.</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></ol> JOB QUALIFICATIONSHere are a few skills you MUST have to be qualified for this position.<ol><li>Minimum 7 – 9 years of call center experience, including 1-3 years of managerial experience.</li><li>Experience working with Genesys Cloud CX workforce management software.</li><li>Proven ability to analyze performance data and implement effective workforce solutions.</li><li>Strong understanding of workforce metrics such as ASA (Average Speed of Answer), AHT (Average Handle Time), and FTE (Full-Time Equivalent).</li><li>Excellent problem-solving skills and the ability to make decisions under pressure.</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>Must be able to work onsite at Credit Union administrative headquarters.</li><li>Travel required sometimes.</li></ol> Here are a few qualities we’d LIKE for you to have to make you more suited for this position.<ol><li>Experience in financial services or credit unions.</li><li>Proven ability to thrive in a fast-paced, dynamic environment with a strong track record of adaptability and responsiveness to changing priorities.</li><li>Analytical mindset with proficiency in tools such as Excel, SQL, or BI software for data analysis.</li><li>Exceptional communication skills for presenting insights and recommendations to stakeholders.</li><li>Understanding of regulatory compliance and customer service excellence.</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:
 PI278523055

Contact Center Workforce Manager

EXCELLENT PAY AND BENEFITS!Be a part of one of the most successful financial institutions in the country!!&nbsp;Star One Credit Union is one of Silicon Valley's largest, member-owned financial institutions. Star One offers financial services to more than 129,000 members worldwide. With assets over $9 billion, Star One is ranked 19th in total assets among over 4,900 credit unions nationally. For ten years in a row,&nbsp;Star One has been ranked #1 by the America's Credit Unions for providing the highest direct financial benefit to the members we serve.We offer&nbsp;AMAZING BENEFITS&nbsp;that help keep our employees healthy and shining bright!!!<ul><li>401(k) Plan, Match, and Profit Sharing</li><li>Annual Wellness Benefit&nbsp;</li><li>Education Assistance</li><li>Employee Loan Discounts&nbsp;</li><li>Medical, Dental, and Vision (Effective date of hire)</li><li>Paid Holidays</li><li>Paid Time Off Program&nbsp;</li><li>Staff Incentive Variable Pay (Bonus)</li></ul>Job Title:&nbsp; Personal BankerHours:&nbsp; Monday-Thursday 8:45 am - 5:30 pm, Friday 8:45 am - 6:30 pm, and rotating Saturdays 8:30 am - 2:45 pm (with a day off during the week&nbsp;Salary Range: $51,200 - $70,300&nbsp;which is base pay.&nbsp;&nbsp;Compensation will be based on candidate qualifications.&nbsp;Job Scope/Duties<ul><li>Responsible for providing consultative member support during the new account and consumer loan application process.</li><li>Reviews and analyzes loan applications and supporting documentation.</li><li>Advises members of policies, rates and terms.</li><li>Acts as a primary contact for members by providing application status and collecting documentation.</li><li>Books consumer loans, disburses funds and explains loan documents and approved loan terms.</li><li>Completes member requests for loan modifications.</li><li>Provides account and loan servicing support as needed.</li><li>Stays informed of all products, services and operational procedures.</li><li>Supports community and business development efforts.</li><li>Processes all transaction requests and provides assistance to other branches and departments as needed.</li></ul>Experience/Minimum Education Requirements<ul><li>Two to four years of current and progressive experience within a financial institution, preferably in a personal banking role.</li><li>Sales and service experience in a branch environment is preferred.</li><li>Bachelor’s degree in Business Administration, Accounting, Finance, or the equivalent level of education and experience.</li><li>Notary designation required. Mortgage Loan Originator (MLO) registration is required upon employment.</li></ul>Knowledge/Skills/Abilities<ul><li>Requires strong written and verbal communications skills.</li><li>Ability to learn and retain banking regulatory information and requirements.</li><li>Must be proficient with technology (computers, iPads, mobile phones, tablets) and Microsoft Office applications.</li><li>Fosters and maintains a strong service culture by providing excellent internal and external service.</li><li>Ability to work in a fast-paced environment while handling multiple tasks and competing priorities.</li><li>Must be a strong team player with the ability to work in a diverse group or as an individual contributor.</li></ul>MUST HAVE GOOD CREDIT.We are a proud Equal Opportunity/AAP Employer M/F/Vet/Disabled<h2><a href="https://www.starone.org/careers/?gnk=job&amp;gni=8a78859e97ae196f0197e647d0ff4013&amp;gns=Veterans+Connect" target="_blank">APPLY HERE</a></h2>

Star One Credit Union

Personal Banker

Description:
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.&nbsp; ABOUT THE POSITIONThe Credit Reporting and Disputes Specialist is responsible for the review and accurate submission of credit data to the credit bureaus and the processing and response to consumer credit disputes. This role ensures full compliance with the Fair Credit Reporting Act (FCRA) and Metro 2 standards by performing timely and accurate data reviews, corrections, and updates using tools such as e-OSCAR.&nbsp; NORMAL DAY-TO-DAY WORK<ol><li>&nbsp;Monitor and validate credit bureau reporting files for accuracy and completeness.</li><li>&nbsp;Investigate and resolve consumer disputes received through e-OSCAR and direct channels within FCRA/FACTA-mandated timelines.</li><li>&nbsp;Analyze loan servicing and system data to validate account statuses, payment histories, and other reported information.</li><li>&nbsp;Submit updated or corrected credit reporting data as necessary.</li><li>&nbsp;Research consumer complaints related to credit reporting, document findings, and determine appropriate resolutions.</li><li>&nbsp;Maintain detailed documentation of dispute resolution processes and outcomes.</li><li>&nbsp;Respond to credit verification requests.</li><li>&nbsp;Collaborate with Loan Operations, Collections, and Risk and Compliance to resolve data discrepancies related to credit reporting.</li><li>Support audits and regulatory exam reviews by providing documentation and subject matter input.</li><li>Maintain compliance with FCRA, CFPB regulations, and industry best practices.</li><li>&nbsp;Stay current on FCRA requirements, Metro 2® changes, and industry best practices.</li><li>&nbsp;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>&nbsp;1 – 3 years of experience in credit bureau reporting and dispute management.</li><li>&nbsp;Familiarity with FCRA/FACTA, Metro 2 reporting standards, and e-OSCAR.</li><li>&nbsp;Excellent verbal, written, telephone and interpersonal communication skills.</li><li>&nbsp;Must possess a strong service orientation.</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>&nbsp;Ability to lift a minimum of 25 lbs. (file boxes, computer).</li><li>&nbsp;Travel required on occasion.</li><li>Here are a few qualities we’d LIKE for you to have to make you more suited for this position.</li><li>&nbsp;Bachelors degree in Business, Finance, or related field (or equivalent experience).</li><li>&nbsp;Familiarity with credit bureau systems.</li><li>Experience with loan servicing or core banking systems.</li><li>CDIA FCRA Credit Reporting Compliance Certification.&nbsp;</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:
 PI278433180

Credit Reporting and Disputes Specialist

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.

CorroHealth

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

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

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