3,459 Health Insurance jobs in the United States
Health Insurance Biller
Posted today
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Summary Description: Bureau of Revenue focus on optimization of insurance billing and reimbursements for service provided to insured New Yorkers that seeks services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provided by DOHMH to meet NYS Article 6 requirements. DOHMH remains committed to providing services for NYC uninsured and under insured residents. Reporting to the Assistant Director of Patient Billing by working alongside a team of talented health insurance billing specialists, you will perform health insurance billing activities and support functions including claim review, claim submission, follow up and collection activities. Applicants must be detailed oriented and must have a minimum of 5 years of work experience, basic knowledge of CPT/ICD 10 codes and comprehensive understanding of the 10 steps in the revenue cycle.
Job Duties and Responsibilities:
- Work closely with the assistant director to oversee billing and collection activities within the unit.
- Run and review daily billing reports for the unit, identify issues and provide feedback to the Assistant Director.
- Track and communicate updated patient demographics and insurance information with clinic teams to ensure transparency.
- Track and manage medical records requests from MCO to obtain prior authorization approvals and claim reimbursement.
- Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy following CMS and other third-party insurance guidelines.
- Monitor EDI denials in a timely manner.
- Prepare and batch claims out to third party payers for reimbursements.
- Review clearinghouse acceptance and rejection reports.
- Edit and make correction to rejected claims and re-batch to third party payers.
- Monitor aging accounts receivable reports (A/R) and provide feedback to Assistant Director of Patient Billing.
- Report industry billing trend and changes to Assistant Director of Patient Billing.
Qualifications:
1. A master's degree from an accredited college with a specialization in business or public administration, financial management, or public health, and two years of full-time satisfactory experience in employee benefits or health insurance as a manager, research analyst, or underwriter, or in public health education. One year of such experience must have been in group benefits or group health insurance; or 2. A baccalaureate degree from an accredited college and three years of full-time satisfactory experience as described above; or 3. Education and/or experience equivalent to "1" or "2" above. Certification as a Certified Employee Benefits Specialist from the International Foundation of Employee Benefit Programs can be substituted for one year of experience. However, all candidates must have at least a baccalaureate degree and one year of experience in group benefits or group health insurance as described in "1" above.
Additional Information:
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.
Health Insurance Sales Agent - Field Based in Long Island, NY
Posted 7 days ago
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Working under the direction of the Sales & Account Management Team and collectively with the Business Development team you will interface with the New York Health Plan to increase marketing synergy and drive overall membership growth. The Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support growth strategy in key areas in New York. Training on all government programs will be conducted upon hire.
*** This is an outside/field sales position ***
If you reside within a commutable distance of Long Island, NY or surrounding area you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.
**Primary Responsibilities: **
+ Enroll eligible members into UnitedHealthcare's Essential Plan, Medicaid Managed Care, and Child Health Plus
+ Retail current membership with key accounts (provider offices, CBOs, housing, etc.)
+ The Account Manager presents health plan information to providers, business advocates, potentially eligible and responsible for closing sales
+ serving as a point of contact for members to provide excellent service and enrollment experience
+ Responsible for meeting or exceeding sales and enrollment expectations within assigned territory
+ Conduct product information presentations in multiple settings
+ Function independently and responsibly with minimal need for supervision
+ Track and measure various sales event effectiveness and activities, events, leads & lead progress, sales, appointments, contacts, and relationship progress daily through internal systems
+ Provide input, support and feedback on promotional opportunities, benefits, and other issues
+ Stay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriate
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications: **
+ 2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experience
+ Valid driver's license, good driving history, reliable transportation, current automobile insurance and/or access to public transportation
+ Ability to travel locally up to 100% of the time within assigned sales territories in this NY market area
+ Ability to occasionally work nights and weekends
+ Reside within/commutable distance of the target geography
**Preferred Qualification:**
+ Experience with New York State health marketplace
+ Health & Accident Insurance license. If you do not already have one, you must be willing to obtain a (company-sponsored) state health/life insurance license within 30 days of hire
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $19.23 to $38.46 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Remote Health Insurance Underwriter
Posted 6 days ago
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Senior Health Insurance Underwriter
Posted 10 days ago
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Key responsibilities include:
- Evaluating complex health insurance applications, including high-net-worth individuals and those with pre-existing conditions.
- Utilizing actuarial data, industry trends, and risk assessment tools to determine policy terms and conditions.
- Collaborating with sales teams, brokers, and actuaries to develop tailored insurance solutions.
- Identifying and mitigating potential risks to ensure the financial stability of the company.
- Staying abreast of regulatory changes and industry best practices in health insurance underwriting.
- Mentoring junior underwriters and contributing to team development.
- Developing and refining underwriting guidelines and procedures.
- Conducting reviews of existing policies to assess ongoing risk.
- Presenting findings and recommendations to management.
The ideal candidate will possess a Bachelor's degree in Finance, Economics, Actuarial Science, or a related field. A minimum of 5-7 years of progressive experience in health insurance underwriting is essential. Strong analytical, critical thinking, and problem-solving skills are paramount. Excellent communication and interpersonal skills are required to effectively collaborate with internal and external stakeholders. Proficiency in underwriting software and MS Office Suite is expected. The ability to work independently and as part of a collaborative team in a fast-paced environment is crucial. This hybrid role offers a blend of in-office collaboration and remote flexibility, allowing for a balanced work-life integration. Join a leading organization that values expertise and offers significant opportunities for professional growth and development within the insurance sector.
Life & Health Insurance Advisor
Posted today
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Job Description
Owatonna, Minnesota, known for its strong industrial base and beautiful parks, recently celebrated the Owatonna High School boys' hockey team's exciting victory in the section finals, demonstrating the city's competitive spirit and commitment to success. Now, we're seeking driven individuals to join our Protege Program and build a rewarding career in the insurance industry.
Culture
At the heart of our organization lies a commitment to the success and satisfaction of both our customers and employees. We recognize that these two priorities are intertwined; as one flourishes, so does the other, creating a powerful network of brand ambassadors both internally and externally.
Compensation
We are dedicated to rewarding exceptional performance with industry-leading compensation. Our pay structure is designed to empower our team members to achieve remarkable income potential, reflecting their hard work and contributions. We are offering renewals up to 3 years.
Career Growth Plan
We are always on the lookout for emerging leaders within our ranks. Every team member is encouraged to invest in their personal development, and we provide ample opportunities for advancement within our organization. Together, we cultivate a culture of growth and excellence.
Benefits
Annual Base Salary + Commission + Bonus Opportunities
Evenings Off
Retirement Plan
Career Growth Opportunities
Life Insurance
Disability Insurance
Parental Leave
Hands on Training
Tuition Reimbursement
Mon-Fri Schedule
Vision Insurance
Dental Insurance
Health Insurance
Flexible Schedule
Paid Time Off (PTO)
Responsibilities
Engage with a steady stream of new leads.
Leverage a comprehensive portfolio of more than 10,000 life insurance prospects.
Create customized insurance quotes, deliver compelling sales presentations, and successfully close deals.
Build strong client relationships and conduct timely follow-ups as necessary.
Assess prospects' needs to uncover and leverage sales opportunities.
Requirements
Creating and maintaining a database of current and potential customers
Ability to achieve high sales targets
Proven track record of trustworthiness, dependability and ethical behavior
Must be coachable
Excellent communication skills: written, verbal, and listening
Must have strong interpersonal communication skills
Must be motivated and determined
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