patient accounts that are scheduled and unscheduled. Hours: Monday-Friday 8:00AM-5:00PM ESSENTIAL FUNCTIONS OF THE ROLE Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe.
Completes appropriate payor forms related to notification and authorization. Coordinates the submission of clinical documentation from physicians to payers for authorization needs. Calculates accurate patient financial responsibility. Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patient's
account prior to scheduled or unscheduled service during the patient's hosptial stay. Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits.
Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. KEY SUCCESS FACTORS 1 year of healthcare or customer service experience preferred. Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality. Ability to know and adhere to payer guidelines by plan and service type. Requires good listening and communication skills, and professional
telephone etiquette. Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office. BENEFITS Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS EDUCATION - H.
S. Diploma/GED Equivalent EXPERIENCE - Less than 1 Year of Experience PDN-9a8d6ca4-dcc6-40dc-9b57-58266504fbf5
Summary The Insurance Funds Reconciliation Specialist plays an important role in the organization by performing a number of tasks related to the company's Insurance functions. The role is primarily responsible, under general supervision, for providing timely job duties related to insurance monetary transactions.
Essential Functions Accurately process all refunds and return payments. Ensure correct allocation of funds to appropriate accounts. Ensure appropriate insurance policy action. Complete independent research in order to resolve insurance-related issues. Ensure established SLAs are appropriately followed. Ensure appropriate vendor management and oversight; monitor vendor SLA reports,
activities to ensure compliance with contracts. Ensure compliance with Federal, Regulatory, State and Investor guidelines, including but not limited to the following: Fannie Mae, Freddie Mac, FHA, VA, USDA, HOEPA, CFPB, FEMA and RESPA.
Provide accurate and complete information to resolve issues, and follow up on any outstanding issues or commitments promptly and when promised. Stay current on changes in industry regulations. Qualifications High school diploma or equivalent required, some college courses preferred, along with one or more years total work experience in mortgage/banking; a viable combination of experience and education will be considered. Preferred knowledge of the complete
mortgage servicing process from origination to payoff. Proficient in Microsoft Office with competencies in Excel, general computer programs, and general office equipment: Data Entry 8,000KPH Typing Speed 40WPM Ability to work under general supervision.
Ability to collaborate and work as part of a team. Strong verbal and written communication skills. Strong problem solving and analytical skills with attention to detail. Ability to work well in a fast-paced environment. Highly motivated and determined to succeed in a competitive, time sensitive industry. Proficient in organizing projects, prioritizing work, and completing multiple tasks accurately. Ability to research discrepancies independently.
Proactive attention to Customer Service. Respectful, accountable, with a high degree of integrity. Continuously seeks knowledge and strives for improvement. Delivers the unexpected. Maintains a positive attitude. 10-key by touch strongly preferred. Bilingual a plus. Supervision General supervision required, depending on experience level. Apply sound judgment in execution of core job responsibilities. Travel: 0%. Requirements Physical: Work is primarily sedentary; mobility in an office setting. Manual Dexterity: Frequent use of computer keyboard and mouse.
Audio/Visual: Ability to accurately interpret sounds and associated meanings at a volume consistent with interpersonal conversation. Regularly required to accurately perceive, distinguish and interpret information received visually and through audio; e. g. words, numbers and other data broadcasted aloud/viewed on a screen, as well as print and other media. Environmental: Office environment - no substantial exposure to adverse environmental conditions. Guild offers a pleasant work environment, competitive compensation and excellent benefits package; including medical, dental, vision, life insurance, AD&D, LTD and 401(k) with employer match.
Guild Mortgage Company is an Equal Opportunity Employer. Targeted Salary Range: $1`5.77/hr to $20.87/hr Compensation at Guild is influenced by a wide array of factors including but not limited to local and federal minimum wage requirements, education, level of experience, and applicant's geographical location. PDN-9a6a6050-37aa-3220531e077f
unlicensed people who are looking to grow their career with a great company that has an amazing culture. What We Offer: World class mentors with weekly training calls? Unlimited FREE leads? Uncapped earning potential? Vested renewals for life? Bonuses? 100% remote Top Candidates Will Be: Self-starters?
Driven to succeed? Professional and reliable? Able to adapt quickly? Leaders? Goal oriented WE CAN ASSIST YOU THROUGH THE LICENSING PROCESS IF YOU ARE NOT YET LICENSED!
