Travel Resolution Specialist Jobs

Minimum of 3 years of experience in billing and collection management, preferably in healthcare

Insurance verification, claim submission, follow up, denial management and remit review

Communicate status of projects to team leader/manager on a daily or weekly basis depending on project requirements

Perform all denial management and collections procedures to obtain payment

Effectively prioritize and manage time to accomplish project goals and expectations

Bachelor's degree in Billing or related field, or equivalent experience

Experience in the finance or automotive industry

Knowledge of mechanical issues that commonly occur with vehicles

Experience having to interpret existing rules/guidelines and apply them appropriately to make decisions

Insightful by cultivating innovation, accumulating business and role specific knowledge, demonstrating self-awareness and making quality decisions

Targeted Compensation: $20.00- $23.00/hour based on experience.

Percent (%) of Customers contacted within 3 business days of escalation

Computer Skills: Intermediate MS Suite knowledge and experience

Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries

Support other projects and duties as assigned by Management

High school diploma or general education degree (GED); or equivalent combination of education and experience.

Experience helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits

Minimum of 1-2 years healthcare experience and/or training required; 3-4 years of healthcare experience/training preferred

Strong communication skills (speaking - including presentations - listening, and writing)

Effective strategic planning capabilities, including the ability to establish long-term vision and goals, and

Ability to articulate a vision, set high standards

Demonstrate high levels of instructional expertise, integrity, honesty, credibility, and the courage to

Ability to build collaborative relationships with a variety of constituent groups, including external

Ability to define problems, analyze data, and outline valid conclusions and action steps

1 year of related experience in transportation including TMS interaction and carrier/customer contract auditing and accounts receivable

Experience with Microsoft Office (Outlook, PowerPoint, Word & Excel)

Excellent verbal and written communication skills

Demonstrated analytical skills; ability to effectively identify and resolve problems

Audit freight invoices by interpreting and applying customer contracts, terms and conditions

Audit invoices before sending to customer to verify they are accurate and collectible

Manage a combination of daily responsibilities and special projects to support current business activities and needs.

Additional skills and experience that we think would make someone successful in this role:

1 year of related business experience

Effective interpersonal skills, both written and verbal, to build relationships with internal and external partners.

Intermediate Excel skills (V-Lookup, Pivot Table, Formulas)

Strong problem solving, and analytical skills needed in managing complex business situations and achieving objectives.

Offer guidance, support, and education to employees to help prevent future resolution issues.

Deliver an outstanding positive customer experience to consumers and frontline advisors

Provide support to customer experience team by handling supervisor and requested resolution chats through our Internal bot platform.

Optimize customer experience on every interaction (Internal/External) by demonstrating a willingness to assist

Thoroughly walk Customer Experience team through proper troubleshooting steps utilizing appropriate resources (Resolve/TechSee)

Strong written, verbal, and interpersonal skills- Sustain a high level of call quality at all times

Ability to multi-task, prioritize duties, and have strong time management skills.

Data Entry work updating addresses, fax numbers, and emails.

Excellent communication skills, strong analytical and problem-solving skills.

1+ year of call center experience

Proficient computer skills with software applications such as Microsoft Office.

Previous Medical Industry Experience preferred but not required.

This position has the possibility to be 100% remote**

Manage timesheet issues, including reviewing timesheets on hold and resolving paycheck issues.

Manage enhanced rate confirmation process.

Two-year degree or one (1) year of experience in a human resources field.

Understanding of Federal and State Employment Laws and Requirements such as DOL guidelines

Demonstrate knowledge of the Human Resources Department and its essential functions

Skilled at collaboration and relationship management through building trust, credibility and teamwork.

Aid Market Teams in the management of Emergency and Crisis situations as needed and directed.

Highly organized with experience prioritizing multiple functions and tasks while managing time efficiently without compromising quality

Workplace flexibility (for remote-specified positions only) #ABetterWaytoWork

Ensure that resolutions involving compensation are consistent and equitable based on unique circumstances and similar incident resolutions.

Facilitates the tracking, follow ups and timely resolution of all tasks.

To prepare shift reports for the Management

Manage ad-hoc situations which may occur on shift in appropriate manner to still be able to deliver all products

A keen skill for multi-tasking along with excellent problem-solving skills

Ability to make managerial decisions requiring independent judgment and to identify and refer other issues to the proper authorities

Excellent computer literacy skills - command of Microsoft Office products in particular

To ensure that all tables are operational without interruptions

Performs other duties and responsibilities as assigned.

Bachelor’s Degree or relevant work experience

On the job training and skills development

Researches, reviews, and resolves reconsideration of previous claim determinations.

Prepares correspondence advising of appeal determination.

Contacts veterinary clinics to secure medical records and discuss difficult cases with clinic staff. Logs and tracks complaints and appeals.

Manage internal collection queue with varying stages of delinquency and past due balances.

Minimum of three (3) years collections experience in consumer or commercial collections.

General knowledge of collections regulations.

100% Remote. Flexible Work Schedule & Location.

Work From Home / Internet / Cell Phone Stipend.

Initiate contact with delinquent borrowers on a consistent basis via outbound call and email communications.

Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements

Maintain the knowledge of payer policies; complete AAHAM or other healthcare related webinars

We offer 4 weeks of training. The hours during training will be 8:00am - 4:30pm EST.

Take necessary AR adjustments in accordance with the department’s adjustment policy

Meet or exceed the Northern Light Health performance standards as it relates to quality and productivity

Request relevant information from appropriate revenue cycle and clinical departments as required by payer

Clear and concise verbal and written communication skills; ability to communicate with customers, associates and management in a professional manner

Create related reports for clients, finance managers and other key stakeholders

Manage weekly settlements within the defined timeframe, when requested

Manage and monitor improvement actions to measure the success of changes and enhancements

1 year of experience in a customer service-oriented environment

Some experience in accounting, invoicing or freight audit and payment operations

Training or knowledge of education law, particularly special education, and preferably student discipline, bullying and other mandated areas

Providing technical assistance and guidance to parents, advocates and school administrators on the implementation of regulatory requirements.

Strong interpersonal, communication skills – ability to communicate and work effectively with a wide range of constituencies in a diverse community.

An Equal Opportunity/Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

Performing other duties as required.

The successful candidate will possess:

At least 2 years of experience with the dispute management process for a fintech company, startup, or bank

Strong Microsoft Office or Google Workplace skills; ideally experience using Slack

Manage the end-to-end process of investigating card fraud and transaction disputes

Manage reporting to our banking partner and internal stakeholders

Interest in or experience with process improvement for back-office operations (ideally in a financial services environment)

Excellent written and verbal communication skills for interfacing with customers, vendors, and internal teams

Offer guidance, support, and education to employees to help prevent future resolution issues.

Deliver an outstanding positive customer experience to consumers and frontline advisors

Provide support to customer experience team by handling supervisor and requested resolution chats through our Internal bot platform.

Optimize customer experience on every interaction (Internal/External) by demonstrating a willingness to assist

Thoroughly walk Customer Experience team through proper troubleshooting steps utilizing appropriate resources (Resolve/TechSee)

Strong written, verbal, and interpersonal skills- Sustain a high level of call quality at all times

Identify appropriate escalation points and work with direct manager to resolve issues

Prior experience in a role requiring communication with government caseworkers and hospital personnel

All Telecommuters will be required to adhere to Hiring Company’s Telecommuter Policy.

Monitor and foster ongoing communications with government agencies regarding the status of claims

Review inbox for daily work queues, identifies missing evidence and follows through to completion

Answer incoming calls from internal and external customers

1+ year of full time experience in a call center customer service environment preferred; remote work experience preferred

Technical Requirements (for remote workers):

Must provide accessibility to secure, quiet work space with direct high-speed internet connection to effectively work remotely

Answer high volume, inbound phone calls from patients, utilizing a cloud based phone system.

Educate our patients on patient financial responsibility surrounding deductibles, copays, and coinsurance.

Confidently inform and collect patient balances using Privia financial policy guidelines.