How To Know My Pf Establishment Code Jobs in Usa
13,257 positions found
This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete.
Additionally, this individual follows departmental productivity and quality control measures that support the organization’s operational goals.
This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts.
JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific policies and requirements to promote compliant claims submission practices.
Adheres to HIPAA related privacy, security and transaction & code set regulations in compliance with the federal guidelines.
Accurately documents all account activity.
Duty 2: Accurately and efficiently works daily electronic billing file through the organization’s billing system by resolving all necessary corrections with valid resolution to obtain a clean first-time reimbursement.
Duty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies.
Submits required clinical documentation for submission with claims and collaborates with additional departments of the hospital to ensure claims are ready for billing and first-time payment.
Duty 4: Educates staff in other departments when existing documentation is not sufficient for billing.
Duty 5: Prepares and submits manual insurance claims to payers who do not accept electronic claims or who require special handling.
Duty 6: Monitors and analyzes error reports to identify significant trends, process improvements or efficiencies and increase accuracy to achieve the overall goals of the department and organization.
Duty 7: Monitors outstanding billing holds, escalates accounts as necessary, accurately works delayed claims and reports any trends, issues or findings to supervisor.
Duty 8: Observes best practice billing, follow up and customer service activities and reports any suspected compliance issues to supervisor.
Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Duty 10: Investigates any over/underpayments and communicates with payers when necessary to rectify any pending or delayed claims.
Duty 11: Proactively recognizes and rectifies any issues to prevent future insurance payor audits and communicates findings promptly to leadership.
Duty 12: Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications.
Duty 13: The above duties reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
REQUIRED QUALIFICATIONS High school graduate or GED equivalent CPFSS certifications required within 12 months of hire (PRN status does not require certification) Familiarity with medical terminology and an understanding of HIPAA requirements Ability to perform project work which may require independent work or collaboration with others Proficient in Microsoft Office Programs, especially Excel Ability to manage multiple tasks and complex issues with excellent time management & organizational skills Demonstrated problem solving skills with excellent self-direction and creative solutions for operational efficiencies Adapts positively to changes in the working setting with ease A valid driver's license is required (if you do not have a valid Ohio driver’s license you must obtain one within 30 days of your residency in the state).
You must also meet BVHS's company fleet policy and insurance company requirements, and any other requirements that may be required to operate a vehicle.
Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status.
Must be able to interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures PREFERRED QUALIFICATIONS Associate’s degree, CPC certification or 2-3 years of experience in medical billing, coding or other revenue cycle functions preferred Conversant with various code sets (e.g., ICD-10, CPT, HCPCS, Modifiers, etc.) Familiarity with data elements on standard billing forms (e.g., CMS-1500) PHYSICAL DEMANDS This position requires a full range of body motion with intermittent activities in walking, lifting, bending, squatting, climbing, kneeling, and twisting.
The associate will be required to sit for five hours a day.
The individual must be able to lift ten to twenty pounds and reach work above the shoulders.
This position requires corrected vision and hearing in the normal range.
The individual must have excellent eye-hand coordination and verbal communication skills to perform daily tasks.
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Flexible Hours and/or Flexible Schedule
Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $19.37 Mid $24.22
Position Summary
Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.
Position Responsibilities
People At The Heart Of All That We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Standard Work Duties: Coder II - Outpatient
- Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding
- Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment.
- Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement.
- Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers.
- Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
- Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
- Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
- Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily.
- Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
- Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
Competencies & Skills
Essential:
- Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
- Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
- Knowledge of anatomy and physiology, pharmacology, and medical terminology.
Qualifications & Experience
Essential:
- High School or Equivalent
Nonessential:
- Associate Degree
Essential:
- High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
Other information:
Certifications Essential: CCS
Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience Essential:
2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.
Job Description
Agency Owner - Acquisition Opportunity (Established Book of Business)
Farmers Insurance - District 24 | Tualatin / Tigard, OR
The Opportunity
Are you a top-performing sales professional ready to move from employee to Owner? Farmers Insurance District 24 is looking for a savvy entrepreneur to take the reins of an already established agency in the Tualatin/Tigard area.
Unlike a startup, this is an existing book of business with an active client base. You will step into a leadership role, backed by the #1 training program in the industry, to grow this established foundation and build a legacy of your own.
Why Choose This Acquisition?
* Immediate Revenue: Skip the "startup phase" and start with an existing book of business.
* Wealth Creation: Build equity for retirement; you have the right to sell your agency on the open market or pass it on to a family member to create generational wealth.
* Financial Support: Includes an Agency Sign-on Bonus and an Exterior Branding Bonus.
* World-Class Training: Access the University of Farmers—ranked the #1 training program in the industry by Training Magazine .
* Brokerage Flexibility: Ability to write business with outside carriers through the Farmers-owned brokerage to ensure your clients always have the best coverage.
Key Responsibilities
* Community Leadership: Maintain a strong, visible presence in the local Tualatin/Tigard community.
* Growth & Strategy: Solicit new business via networking, lead sources, and strategic partnerships (Real Estate Agents, Mortgage Lenders, etc.).
* Agency Management: Lead, coach, and inspire a sales/support team to drive agency growth and retention.
* Relationship Building: Foster deep loyalty with existing customers while closing new sales presentations.
Requirements
* Experience: Minimum 2 years of sales/marketing and 2 years of professional office experience.
* Licensing: Property & Casualty and Life & Health licenses (or the willingness to obtain them immediately).
* Background: Clean criminal and personal financial background (required for insurance bonding).
* Mindset: A fierce desire to own, manage, and scale your own business.
Company Description
Our district is about having a big heart and a whole lot of hustle. We believe that no one wins alone. If you're looking to be part of a leading group that encourages involvement, sharing, community-focused work, open-minded attitudes towards trying new things, and doing the extra to get ahead, this may be the place for you. Our everyday purpose is to help agency owners succeed. We do it by knowing our people. We also make sure that we are always accessible, stay well-informed, provide consistent training, distribute best practices, know the numbers, celebrate success, support tough times, and inspire confidence.
Company Description
Our district is about having a big heart and a whole lot of hustle. We believe that no one wins alone. If you're looking to be part of a leading group that encourages involvement, sharing, community-focused work, open-minded attitudes towards trying new things, and doing the extra to get ahead, this may be the place for you. Our everyday purpose is to help agency owners succeed. We do it by knowing our people. We also make sure that we are always accessible, stay well-informed, provide consistent training, distribute best practices, know the numbers, celebrate success, support tough times, and inspire confidence.
$24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
- Position: Coding Educator
- Location: Skokie, IL
- Full Time
- Hours: Monday-Friday, [hybrid]
What you will do:
- Ongoing growth and development from participation in events such as workshops, in-service programs and departmental meetings.
- Provides care based on physical, psychological, educational and related criteria appropriate to the age and type of the patients/customers served in their area.
- Acts as a coding resource for physicians, charge entry staff, other coders, and clinical staff.
- Participates in continuing education and in-service programs to maintain coding and billing skills.
- Communicates coding changes and updates physicians based on department standards.
- Queries physician and/or staff regarding incomplete or missing documentation.
- Works resolute charge review work queues with the purpose of correcting coding errors, reviewing documentation and applying coding guidelines to ensure the accurate and timely filing of charges.
- Ensure service, procedure and diagnoses codes are accurately reported and linked.
- Assigns CPT, ICD-10 and HCPCS codes based on coding guidelines.
- Queries Physician/Provider when applicable
- Maintains productivity and aging levels based on department standards.
- Identifies trends in coding issues and works with manager to educate and implement solutions.
- Work follow-up work queues with the purpose of reviewing denial codes and remarks and apply coding and billing guidelines for resubmission to obtain final adjudication of claim.
- Use coding resources (NCCI manual, LCD's payor bulletins) to assist with correct resubmission.
- Maintains productivity based on department standards.
- Work account work queues with the purpose of resolving patient disputes by applying coding and billing guidelines.
- Communicates with practice managers and/or physicians if applicable.
- Maintains productivity based on department standards.
- Consistently utilizes coding and billing resources and reference tools.
- Reports identified or potential coding compliance issues to manager and/or Coding Compliance Department in accordance with established policy and procedures.
- Implements findings to improve processes and workflows.
What you will need:
- Education: High School Diploma Required
- Certifications: CCS or CCS-P or CPC or RHIT required
- Experience: 3 years of outpatient coding experience
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Coverage
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ) to better understand how
Endeavor Health delivers on its mission to ?help everyone in our communities be their best?. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Flexible Hours and/or Flexible Schedule
Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $24.73 Mid $30.92
Position Summary
Under the direction of the Coding and Clinical Documentation Improvement Manger , reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, physician advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract, Participates in ongoing continued education to assure knowledge and compliance with annual changes.
Position Responsibilities
People At The Heart Of All That We Do
- Fosters an inclusive and engaged environment through teamwork and collaboration.
- Ensures patients and families have the best possible experiences across the continuum of care.
- Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
- Behaves in a mindful manner focused on self, patient, visitor, and team safety.
- Demonstrates accountability and commitment to quality work.
- Participates actively in process improvement and adoption of standard work.
Stewardship
- Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
- Knows and adheres to organizational and department policies and procedures.
Standard Work Duties
- Determines whether the coding assigned was properly assigned based upon clinical indicators and review of the medical documentation and application of coding guidelines.
- Develop and apply appeal arguments to defend the coding and clinical decisions while being able to address and refute the coding determination made by the carrier/payer.
- Drafts appeal letters, including the coding argument with clinical and coding references, to support the coding decision. This may include providing additional medical record documentation.
- Identifies areas for education to improve complete and accurate coding and billing and provide feedback to management regarding trends or patterns noticed in the coding for discussion.
- Continued follow-up on denials as payers may continue to deny. Collaboration with Physician Advisor as required to continue appeal process.
- Continuously reviews changes in coding rules and regulations including in Coding Clinic, CMS, and other payer guidelines.
- Complete denials/appeals reports for leadership.
- Documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.
- Assigns and sequence documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.s diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines.
- Performs special projects and/or other duties as assigned.
Competencies & Skills
Nonessential:
- Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
- Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision
- MS-DRG and APR-DRG methodology expertise required. Strong knowledge of ICD-10-CM, ICD-10-PCS, POAs, HACs, PSIs, SOIs, ROMs and mortality rates as well as physician queries.
Qualifications & Experience
Nonessential:
- Associate Degree
Essential:
- High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
Other information:
Certifications Essential: CCS
Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience Essential: 2-5 years acute care hospital inpatient coding experience within the past five years.
Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, finding value creation opportunities, and driving innovative and sustainable customer experiences through technology. We believe our portfolio of businesses and investments in growth and transformation will result in a company with the scale, brand, capabilities, talent, and values to succeed as the digital revolution transforms our society and our industry.
About the TeamThe team's work encompasses the entire lifecycle of software artifacts, from inception to archival. Work and Code Management systems - Jira serves as the single source of truth for all work items, features, and defects. This planning layer is integrated with GitHub, which manages the source code and version control, to establish a clear, auditable trail from requirement to code.
Capital One Product FrameworkIn this role, you'll be expected to demonstrate proficiency in five key areas which we consider to be the foundation for successful Product management:
Human Centered - Obsesses about internal and external customer needs to reimagine and innovate product solutions
Business Focused - Delivers game-changing outcomes by focusing on leverage and execution excellence
Technology Driven - Leverages technology to deliver innovative and resilient solutions that enable both near term and long term value
Integrated Problem Solving - Identifies and resolves complex problems to deliver outcomes while mitigating product risks
Transformational Leadership - Leads cross functional teams to solve customer problems and drive organizational alignment
At least 3 years of experience working in Product Management
Currently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date:
A Bachelor's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field)
A Master's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field) or an MBA with a quantitative concentration
Experience translating business strategy and analysis into consumer facing digital products
The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.
McLean, VA: $164,800 - $188,100 for Manager, Product Management
New York, NY: $179,700 - $205,100 for Manager, Product Management
Plano, TX: $149,800 - $171,000 for Manager, Product Management
Richmond, VA: $149,800 - $171,000 for Manager, Product Management
San Francisco, CA: $179,700 - $205,100 for Manager, Product Management
Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate's offer letter.
This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.
Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at the Capital One Careers website. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.
This role is expected to accept applications for a minimum of 5 business days. No agencies please. Capital One is an equal opportunity employer (EOE, including disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance Act; Philadelphia's Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.
If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-8 or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.
For technical support or questions about Capital One's recruiting process, please send an email to .
Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.
Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).
Employed Urologist Opportunity in South Texas
- Join an existing and established practice
- Administrative support of MAs, Front Desk, Office Manager
- Robust clinical research department at the Medical Center available for proposed research
- Their campus is open to community providers participating in teaching opportunities
They offer:
- Guaranteed salary with production bonus
- Comprehensive benefits (health, dental, life, disability, 401k with matching, salary deferment program, etc.)
- Billing, Coding, Collections done in-house
- Top Executive & Administrative support, IT, HR, legal
- Physician time off (vacation + CME with stipend)
- Malpractice insurance
About the Area:
- Located a short 40 minutes from South Padre Island.
- Year-round semi-tropical weather
- No state income tax / Tort reform
- Lowest cost of living in the U.S.
- Great schools / Affordable housing
- Golfing, hunting, birding, fishing, boating
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. This hybrid role requires an individual to be in the office 3 days per week. Relocation assistance is not available for this position.
Identifies and manages existing and emerging risks that stem from business activities and the job role.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.
Follows written risk and compliance policies, standards, and procedures for business activities.
Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations), as well as all auto physical damage associated with those claims.
Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims.
Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines.
Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.
Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates.
Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
Supports workload surges and/or Catastrophe Operations as needed.
High School or General Equivalency Diploma.
~2 years of auto liability claims adjusting experience.
~ Deep knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
~ Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.
~ Ability to exercise sound financial judgment and discretion in handling insurance claims.
~ Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts.
4 or more years auto liability/casualty adjusting experience.
~1yr Medical experience to include coding and billing or EMT.
~ Ongoing Professional Development with a focus on Insurance.
~ Bachelors degree or higher.
~ US military experience through military service or a military spouse/domestic partner.
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Southern Wisconsin - Ophthalomology
- Join a well-established Practice Consisting of
- 3 Ophthalmologists
- 2 Optometrist Low Vision specialist
- Call - 1:6
- Must be Board Eligible/Board Certified in Ophthalmology
- Open to a New Grad or practicing physician
- Practice true comprehensive ophthalmology with cataract, glaucoma, oculoplastics, medical retina, pediatric and cornea patients.
- Ideal opportunity to step into an established practice
- Low physician turnover rate
- Generous Benefits, including a great retirement package
- Competitive compensation package
- New Ambulatory Care Center specifically designed with the patient experience in mind
- There is a stable primary care base that presents a great deal of referrals
- Collegial Physician Group
- Strong support staff
- 2 dedicated techs to support each physician and scribes
- Patients per day: 38-40
Why You ll Love This Community:
- Family-Friendly Atmosphere Excellent schools and a welcoming community
- Outdoor & Cultural Activities Enjoy hiking, biking, fishing, skiing, theater, and sporting events
- Easy Access to Major Cities Ideal balance of suburban comfort with urban accessibility
Urology Private Practice Opening in East Texas
- Join an established urology practice on a partnership track. This is an excellent opportunity to join another urologist and become an integral part of the community.
- Established practice with mentorship
- Professionally managed practice and an experienced staff
- Robotics and specialty equipment available (Da Vinci Xi, Greenlight, ESWL)
- Call 1:3
- ASC adjacent to hospital
- 24/7 Anesthesia Coverage
Financial Package:
- Guaranteed Income/salary
- All professional expenses included in financial package
- Excellent benefits package including PTO, Moving Expenses, production bonus, etc.
- ASC Partnership available
Community Highlights:
- The oldest town in Texas and offers a wide variety of attractions for visitors.
- East Texas University Town with hospital service area of 100,000 residents
- University with 12,000 students
- Great School System
- 2 Local Airports and 3 international airports within 2.5 hours
- Centrally located between Houston, TX; Dallas, TX and Shreveport, LA
- Charming historic downtown
- Beautiful topography (Rolling hills, piney woods, Lakeside suburbs)
