Utilization Insurance Specialist Job at Mount Sinai Health System (New York)

Insurance Verification Specialist

Detail-oriented Insurance Verification Specialist to join a local government sec...

Location

United States , Baltimore

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in a similar role or related field
Proficiency in using EMR (Electronic Medical Records)
Experience in patient registration
Ability to manage and update patient demographic information
Proficient in performing insurance verifications
Strong data entry skills
Knowledge and understanding of the health care industry

Job Responsibility

Conducting regular follow up and communicating with clinic patients over the phone
Schedule patient visits including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments
Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record
Utilizing clinical electronic medical records for data entry and management
Conducting patient registration including obtaining demographic information
Ensuring data accuracy while entering into a spreadsheet and the electronic medical record
Making phone calls to patients to gather necessary details for calculating federal poverty limit
Monitoring patient accounts and taking actions when necessary

What we offer

Medical, vision, dental, life and disability insurance
401(k) plan
Free online training

Fulltime

Underwriting Specialist - Energy

Allianz Commercial (AzC) is looking for an Underwriting Specialist skilled in un...

Location

United States , Houston; Alpharetta; Chicago; New York

Salary:

102556.00 - 189931.00 USD / Year

Allianz

Expiration Date

Until further notice

Requirements

A minimum 5-7 years’ significant experience in Underwriting profitable Energy business with specialized expert understanding of sub-LoB products and portfolio
Recognized relationships with brokers at peer group level and well established within market
Specialized understanding of regional / local LoB insurance markets and competitor landscape, including global elements
Good understanding of legal and regulatory framework
Experience working in a complex global matrix organization
Preferably a bachelor’s degree in Insurance, Risk Management, Finance, Economics, Business Administration, Law or other appropriate discipline
Completion of a professional insurance qualification
Ability to assess risk inherent exposures and natural hazards relevant to LoB
Analyze current performance against benchmarks applying how the market operates and functions, the business needs and customer needs
Design, develop and implement consistent, robust wordings

Job Responsibility

Underwrite new and renewal accounts to meet top and bottom-line targets
Negotiate price and terms and conditions with producers
Proactively manage capacity
Underwrite and evaluate Natural Catastrophe Accumulation, ensuring an understanding of catastrophe modeling and interpretation of scenarios
Underwrite International Insurance Programs
Underwrite in line with LoB governance framework
Ensure contract certainty is achieved on all accounts at time of inception
Ensure utilization of global pricing tools
Ensure placing and binding of FAC Reinsurance prior to policy inception
Ensure accurate policy documentation issued to producers

What we offer

Hybrid working model
Great compensation and benefits package
Generous bonus scheme and pension
Career development and digital learning programs
International career mobility
Support for flexible working, health, and wellbeing
Private healthcare
Generous parental leave benefits
Opportunities to be engaged in shaping a future that is safe, inclusive, and sustainable

Fulltime

Medical Billing Specialist

We are seeking a Medical Billing Specialist to join our team in the Healthcare i...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Excellent customer service skills with a patient-centered approach
Proficiency in data entry tasks, with a focus on accuracy and efficiency
Experience with numeric data entry, demonstrating high levels of precision
Ability to handle high-volume data entry tasks without compromising on quality
Proven track record of performing data entry tasks in a fast-paced environment
Knowledge and experience in medical billing procedures
Familiarity with insurance verifications, ensuring proper patient coverage
Expertise in medical insurance verification, confirming the validity and applicability of patients' insurance policies

Job Responsibility

Administer accurate and timely processing of patient accounts
Verify and secure correct insurance benefits for patients
Confirm waiver coverage for patient accounts
Validate the accuracy of patient information within accounts
Identify what items are covered by payors and coordinate benefits accordingly
Monitor patient accounts and take necessary actions
Utilize customer service skills to resolve patient inquiries
Carry out high-volume data entry tasks
Perform insurance verifications for medical purposes
Leverage general computer knowledge, specifically Microsoft Outlook and Teams, for data entry and communication purposes

What we offer

Medical, vision, dental, and life and disability insurance
Eligibility to enroll in company 401(k) plan

Fulltime

Medical Billing Specialist

We are seeking a Medical Billing Specialist to join our team in the Healthcare i...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Excellent customer service skills with a patient-centered approach
Proficiency in data entry tasks, with a focus on accuracy and efficiency
Experience with numeric data entry, demonstrating high levels of precision
Ability to handle high-volume data entry tasks without compromising on quality
Proven track record of performing data entry tasks in a fast-paced environment
Knowledge and experience in medical billing procedures
Familiarity with insurance verifications, ensuring proper patient coverage
Expertise in medical insurance verification, confirming the validity and applicability of patients' insurance policies

Job Responsibility

Administer accurate and timely processing of patient accounts
Verify and secure correct insurance benefits for patients
Confirm waiver coverage for patient accounts
Validate the accuracy of patient information within accounts
Identify what items are covered by payors and coordinate benefits accordingly
Monitor patient accounts and take necessary actions
Utilize customer service skills to resolve patient inquiries
Carry out high-volume data entry tasks
Perform insurance verifications for medical purposes
Leverage general computer knowledge, specifically Microsoft Outlook and Teams, for data entry and communication purposes

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in our company 401(k) plan

Fulltime

Patient Access Specialist

We are looking for a dedicated Patient Access Specialist to join our team in Lew...

Location

United States , Lewiston

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in customer service, preferably in a healthcare or administrative setting
Strong administrative skills, including attention to detail and organizational abilities
Proficiency in data entry with a focus on accuracy and efficiency
Familiarity with insurance verification and collections processes
Ability to handle sensitive patient information with discretion and professionalism
Excellent communication skills to explain forms and processes clearly to patients
Knowledge of medical terminology and compliance standards is an advantage
Capability to work independently and as part of a team to meet operational goals.

Job Responsibility

Accurately assign medical record numbers (MRNs) and perform medical necessity checks while ensuring compliance with policies and procedures
Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining a high level of customer service
Conduct pre-registration for patients, including obtaining demographic and insurance information, explaining financial responsibilities, and managing payment collections
Explain and distribute consent forms, Medicare-related documents, and other patient education materials, ensuring all necessary signatures are obtained
Review insurance eligibility responses, select appropriate plan codes, and input benefit information to support billing and collections processes
Screen medical necessity using designated software and inform patients of potential non-payment risks, distributing relevant forms and documentation
Utilize auditing systems to review accounts for accuracy, correct errors, and provide statistical data to leadership
Conduct inbound and outbound calls to gather patient information and address outstanding balances, offering payment plan options as needed
Meet assigned point-of-service goals while consistently delivering compassionate and attentive interactions.

What we offer

Medical, vision, dental, and life and disability insurance
Company 401(k) plan
Free online training.

Fulltime

Social Media Manager - Insurance & Business Services Specialist

As a Social Media Manager - Insurance & Business Services Specialist at 321, you...

Location

United States , Orlando

Salary:

60000.00 - 75000.00 USD / Year

321 Brand + Social House

Expiration Date

Until further notice

Requirements

5+ years of experience in social media management, preferably in an agency environment managing multiple client accounts simultaneously
2+ years of direct experience managing social media for insurance brands (home insurance, auto insurance, personal lines) or financial services organizations required
Proven track record developing and executing successful social media strategies for insurance, business services, professional services, or B2B brands
Experience managing social media for insurance companies, insurance agencies, roofing companies, legal firms, real estate professionals, healthcare providers, or similar business services industries is highly valued
Deep understanding of insurance consumer behavior, purchase considerations, and content that drives trust and engagement in the insurance category
Knowledge of insurance industry regulations and advertising compliance requirements across multiple states/jurisdictions
Familiarity with insurance products, coverage types, claims processes, and industry terminology
Strong writing skills with ability to craft platform-appropriate content that resonates with insurance consumers and professional audiences while maintaining regulatory compliance
Expertise across major social media platforms including Facebook, Instagram, LinkedIn, TikTok, and YouTube, with deep understanding of platform-specific best practices
Proficiency with AI-powered content creation tools (ChatGPT, Claude, Jasper, Copy.ai, or similar) with demonstrated ability to produce high-quality, on-brand content efficiently

Job Responsibility

Develop comprehensive social media strategies for multiple insurance and business services client accounts that align with business objectives, target audiences, and brand positioning
Create insurance-specific content strategies that address the full customer lifecycle: awareness, quote consideration, policy purchase, claims experience, and renewal/retention
Understand and optimize for insurance consumer behavior including comparison shopping, life event triggers (home purchase, vehicle purchase, marriage, relocation), and seasonal patterns
Conduct competitive analysis, audience research, and platform audits to identify opportunities in insurance and business services verticals
Define content pillars, messaging frameworks, and brand voice guidelines tailored to insurance audiences and professional service consumers
Develop strategies that build trust and credibility for insurance brands while addressing common concerns (price transparency, claims reputation, coverage clarity, customer service quality)
Establish KPIs and success metrics for each client account, tracking performance against goals for reach, engagement, quote generation, and business impact
Leverage AI tools to analyze audience insights, predict content performance, and optimize strategy based on data-driven insights
Stay current on platform algorithm changes, emerging features, and social media trends in insurance marketing, adapting strategies to maximize organic reach
Monitor insurance industry trends, regulatory changes, and competitive landscape to inform content strategy

What we offer

Health, dental, and vision insurance
401K after one year of employment
2 Weeks (80 Hrs) Paid Time Off [Additional 40Hrs at 3 Years]
3 Sick/Mental Health Days
8 Hours Volunteer Time
Additional PTO at holiday and management discretion
Paid parental leave
Professional development opportunities
Leadership training opportunities and career advancement pathways
A collaborative, creative, and ambitious team environment

Fulltime

Revenue Cycle Credit Balance Specialist

Our team is seeking a detail-oriented Revenue Cycle Credit Balance Specialist to...

Location

United States , Auburn

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in healthcare revenue cycle, insurance follow-up, medical billing, or claims research is highly preferred
Familiarity with payer policies, insurance remittance forms, and electronic claim systems
Exceptional attention to detail, analytical ability, and strong communication skills
Comfortable navigating payer portals and conducting professional outreach to insurance contacts
Ability to adapt to training environments and learn new systems efficiently

Job Responsibility

Analyze and monitor insurance credit balances, identifying instances where DaVita has billed a payer and received more funds than expected
Conduct thorough research and investigation on claims to determine the root cause of credit balances and whether they are the result of a true misbalance or other factors
Evaluate if overpayments are owed back to payers and ensure proper adjustment and documentation steps are taken
Process retractions, communicate directly with insurance payers by phone, and utilize payer portals to support and document claim resolution activities
Work with common insurance forms and electronic remittance advices (ERAs) to validate payment postings and adjustments
Apply strong critical thinking skills to interpret payment discrepancies and resolve outstanding credit balances in a timely manner
Participate in a structured training program, spending half the day in classroom learning and half the day on the floor with hands-on experience

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan

Care Manager

Coordinates patient care activities ensuring efficient utilization of interdisci...

Location

United States

Salary:

41.10 - 61.65 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Eff. 6/1/2012: BSN preferred, ADN with agreement to enroll in BSN completion program in two years to be completed in five years. Bachelor’s degree in a health-related field plus 3-4 years of clinically relevant experience
OR RN plus 5 years of clinically relevant experience. Graduate from an accredited school of nursing.
Knowledge of basic PC skills.
Ability to prioritize work.
2 years’ clinical experience, recent and relevant.
Effective interpersonal communication skills.
Basic organizational skills.
Problem solving skills.
Utilization of critical thinking in timely decision making.
Current nursing license in State of Illinois or license in relevant clinical work.

Job Responsibility

Coordinates patient care activities ensuring efficient utilization of interdisciplinary resources.
Selects approaches in care coordination that reflect knowledge and integration of regulatory agency standards.
Manages resources in collaboration with patients, families, the health care team, and the community.
Develops and evaluates methodologies for efficient communication among unit nursing personnel and interdisciplinary team members.
Evaluates scheduling of patients/procedures to provide timely and customer-focused services.
Participates in resolution of hospital-based issues which affect patient care outcomes.
Facilitates patient movement through the system in a timely manner by fostering collaboration with care providers at points of transition.
Works collaboratively with internal and external customers. Serves as a liaison between the inpatient rehab unit, subacute facilities, home health agencies and outpatient services.
Interfaces with Utilization Management and insurance providers.
Strengthens and/or creates existing, collaborative, non-binding relationships with other sites of care.

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Parttime

Utilization Insurance Specialist

Mount Sinai Health System

Location:
United States , New York

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 14, 2026

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Utilization Insurance Specialist

Mount Sinai Health System

Location:United States , New York

Category:Insurance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:February 14, 2026

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Location:
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Category:
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Contract Type:
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Job Posted:
February 14, 2026