Representative

• Prepare, validate, and complete all steps needed to clear new cases for pre-scheduled services
• Validate and gather insurance and demographic information
• Contact insurance companies by website, phone, or fax to verify benefits and obtain authorizations
• Identify insurance guidelines and facilitate communication
• Use the EPIC system to verify benefits and eligibility
• Complete and obtain necessary authorizations for scheduled services
• Collaborate with clinical providers, on-site case management, and LPN/RN or Nurse Auditor staff
• Perform pre-service collection estimation and communicate patient liability
• Provide point-of-service information and logistics to support an exceptional patient experience
• Maintain compliance with applicable laws, accreditation standards, regulations, privacy, and safety requirements
• Perform other related duties as required

Pre-Service Representative verifying insurance and authorizations for Ochsner Health patients

Pre-Service Representative

Pre-Service Representative verifying insurance benefits and securing authorizations for Ochsner Health patients. Communicating liability and coordinating pre-service requirements before scheduled care.

• Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data
• Verify insurance eligibility, benefits, and coverage levels (Medicare, Medicaid, Commercial) to determine patient financial responsibility
• Review and provide accurate, timely prior authorization submission for scheduled procedures based on patient insurance, benefits, and clinical data
• Communicate directly with patients regarding their estimated financial liability and discuss payment options or financial counseling needs
• Secure necessary pre-certifications and authorizations, ensuring all documentation is accurate
• Log in and out of multiple systems (including practice management systems) to research and answer patient’s questions, accurately and with detail
• When handling incoming, returning or placing outbound calls, adhere to HIPAA privacy regulations
• Obtain patient payment information over the phone, process the payment and appropriately note the account
• Escalate issues effectively to a supervisor or management for assistance
• Responsible for ensuring all client specific protocols are followed during the patient billing cycles
• Respond to requests, professionally and promptly, and follow up with outstanding requests in a similar matter

Patient Accounts Representative managing cost estimates and insurance verifications

Patient Accounts Representative

Patient Accounts Representative calculating cost estimates and verifying insurance for scheduled procedures. Role supports a client in the healthcare industry, specifically for ambulatory surgery centers.

• Advise Project Owner on all aspects of commercial construction projects from concept to completion.
• Ensure compliance with environmental regulations and permits throughout the construction process, including environmental impact assessments and mitigation measures.
• Monitor all project schedules, provide early feedback on performance and risk to those schedules, and support timely completion of all project milestones.
• Identify potential risks and develop mitigation strategies to better position the project for success.
• Monitor the Contractor’s quality control measures to ensure construction activities meet industry standards and Owner expectations.
• Serve as a key conduit of information exchange between all on-site stakeholders, providing regular updates on project progress and addressing any concerns that may arise.
• Observe and influence the activities of construction teams, subcontractors, and support staff on behalf of the Owner, fostering a collaborative and safety-focused work environment.
• Consult to ensure compliance with safety regulations and best practices and recommend corrective actions to maintain a safe work environment for all personnel.
• Maintain accurate project documentation, including contracts, permits, change orders, and progress reports, and provide regular reporting to stakeholders.

Construction Manager serving as Owner's Representative for large-scale projects

Owner's Representative

Construction Manager serving as Owner's Representative in remote environments. Overseeing construction management responsibilities and ensuring alignment with Owner's vision and objectives.

• Serve as the primary technical field support resource for Rebel Power and communications products
• Provide on-site assistance to defense, government, and commercial customers
• Support customer demonstrations, training, product integration, troubleshooting, and operational field exercises
• Serve as the technical liaison between customers and internal teams
• Work closely with Business Development, Sales, Program Management, and Engineering to ensure successful product deployment

Field Service Representative providing technical support for Rebel Power products

Field Service Representative

Field Service Representative providing technical support for Rebel Power and communications products. On-site assistance for customers, supporting demos, training, and deployments.

• Support educators by addressing inquiries about their life and retirement insurance policies
• Provide exceptional customer service through phone calls, emails, and live chats
• Develop strong knowledge of Horace Mann Life and Retirement insurance products, services and policies
• Handle and problem solve customers' inquiries via phone, email, and chats
• Ensure a great customer experience in both written and verbal communications
• Responsible for proactive up-sell and cross-sell of insurance solutions to existing customer base

Customer Service Representative supporting educators with life and retirement insurance inquiries

Service Representative – Life and Retirement

Customer Service Representative providing support to educators with life and retirement insurance inquiries through various communication channels. Requires no prior license with training provided for those without insurance experience.

• Educate clients on financial planning and insurance options.
• Provide excellent customer service and build lasting relationships.
• Collaborate with a local supportive team.

Financial Representative educating clients on financial planning at Northwestern Mutual

Outside Representative

Financial Representative at Northwestern Mutual educating clients on financial planning and insurance options. Collaborating with a supportive local team to provide excellent customer service and build lasting relationships.

• Demonstrates good customer service skills while initiating outbound calls and receiving inbound calls from customers.
• Negotiates account resolution and accurately inputs and documents actions within the collection systems.
• Maintains up-to-date customer contact information in the collections systems.
• May be required to support other queues to facilitate teamwork in the department.
• Escalates and assists other team members with calls as needed.
• Serves as a resource/subject matter expert and may provide training to fellow team members.
• May be required to initiate external contact with customers and may perform advanced loss prevention activities.
• Review the Month to Date (MTD) sent by the clubs for accuracy.
• Daily review of ABC on prior day dues collections and all club entries.
• Process all refunds from ABC and Point of Sale (POS). Research all refunds from the clubs for accuracy.
• Oversees 3rd party collections and all communication that is needed to the clubs from Swift.
• Works as the liaison between ABC and the Club Operations Managers.
• Timely, responsive, courteous communication with all member inquiries, questions, concerns, and needs.

Member Services Representative handling day-to-day management of dues growth

Member Services Representative

Member Services Representative working for UFC GYM managing dues growth and providing customer service via calls. Responsible for account resolutions and supporting team members.

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