The Claims Examiner is responsible for adjudicating health and accident claims while managing outbound calls to resolve inquiries. They must prioritize tasks to meet turnaround times and ensure all actions comply with company and HIPAA regulations.
The Scheduling Coordinator manages and maintains schedules for nurse assessors while serving as the primary point of contact for scheduling inquiries. They are responsible for resolving scheduling conflicts, performing outbound calls, and ensuring all appointments align with organizational goals.
The role involves facilitating finance activities, including processing payments via Bank Lockbox and managing mailroom tasks. The analyst is responsible for verifying invoice accuracy, researching cash outages, and completing monthly financial reporting.
The representative will handle incoming telephone inquiries from policyholders, providers, and agents regarding insurance policies and claims. They are responsible for accurately updating software systems, maintaining product knowledge, and ensuring compliance with privacy regulations.
The Customer Support Representative manages the usage and compliance of EVV and facility platforms to ensure accurate home care and facility invoicing. They provide ongoing training, troubleshooting, and support to clients, caregivers, and agencies to maintain system efficiency.
The representative will handle incoming telephone inquiries from policyholders, providers, and agents regarding insurance policies and claims. They are responsible for accurately updating software systems, researching records, and providing clear communication regarding inquiry status.
The Customer Support Representative manages client usage and compliance of EVV and facility platforms while providing troubleshooting and retraining support. They are responsible for maintaining accurate documentation and ensuring the compliant delivery of invoices to insurance carriers.
This role involves providing administrative support for claims adjudication by gathering data and reviewing documentation for long-term care insurance plans. The associate will also interact with customers and providers to ensure accurate information and timely resolution of inquiries.
The Enrollment Specialist facilitates the enrollment of insureds into EVV and facility programs through high-volume inbound and outbound telephone outreach. They are responsible for educating stakeholders, resolving enrollment issues, and maintaining accurate documentation in compliance with HIPAA and program requirements.
Provide support, training, and troubleshooting for clients using EVV and Facility platforms to ensure compliant delivery of invoices. Manage client inquiries via phone and email while maintaining organized documentation of all interactions.
The Claims Examiner is responsible for the accurate and timely adjudication of long-term care insurance claims in compliance with policy and regulatory standards. This includes analyzing claim documentation, coordinating benefits, and communicating determinations to policyholders and providers.
Perform quality reviews of policy administration and claim transactions to ensure accuracy and compliance with standard operating procedures. This includes reviewing benefit eligibility, documenting errors, and reporting quality results to management and clients.
Perform quality reviews of LTC insurance operational and claim transactions to ensure accuracy and adherence to standard operating procedures. Responsible for reviewing benefit eligibility, documenting errors, and reporting quality results to management and clients.
Provide seamless support and training to clients using EVV and Facility platforms to ensure compliance and system efficiency. Manage inquiries from claimants, caregivers, and agencies to facilitate accurate invoicing for LTC insurance carriers.
The specialist will analyze business and EVV data to create insightful reports, dashboards, and BI solutions to support decision-making. They are responsible for monitoring compliance risks, identifying trends, and collaborating with stakeholders to optimize reporting workflows.
The Claims Examiner is responsible for the accurate and timely adjudication of long-term care insurance claims in compliance with policy and regulatory standards. This includes analyzing documentation, coordinating benefits, and communicating determinations to policyholders and providers.
