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Sherloq Solutions

<div>About SHERLOQ Solutions
Established in 1916, SHERLOQ began as a member-owned cooperative in Tampa, Florida. The founding mission was to facilitate the sharing of credit information, promote the equitable principles in trade and give back to the community. Over 100 years later, SHERLOQ continues as a vibrant company serving hospitals, healthcare systems, physician practices and utilities nationwide. 
Position Summary
This position will require the employee to effectively communicate between healthcare providers and health insurance payers to expedite claim resolution. 
Essential Duties and Responsibilities<ul><li>
Resolve healthcare claims through verbal or online inquiries to health insurance payers.</li><li>
Effectively navigate and utilize healthcare provider systems, billing platforms, and payer websites.
</li><li>Verify patient, insurance, billing and claim submission information for accuracy.</li><li>
Eligibility inquiries and coordination of benefits research including reaching out to the patient when necessary.</li><li>
Analyze payer denials and appropriately respond to secure claim reimbursement.</li><li>
Provide information to the Billing &amp; Appeals Specialists on claims that require written appeals.</li><li>
Track trends in payer underpayments, coding issues and denials and report to leadership for escalation.</li><li>
Recognize basic coding denials and request appropriate action for correction or dispute.</li><li>
Check insurance payments for accuracy and compliance with contract discount.</li><li>
Research missing payments and secure documents needed for posting.</li><li>
Demonstrated ability to remain patient, professional &amp; effective in high pressure and high-volume environments.</li><li>
Meet or exceed daily, weekly and monthly performance goals, deadlines and objectives.</li><li>
Perform other related duties as assigned.</li></ul>
Abilities<ul><li>
Excellent verbal and written communication skills.</li><li>
Excellent interpersonal and negotiation skills.</li><li>
Organized with attention to detail.</li><li>
Ability to read and interpret insurance explanation of benefits.</li><li>
Ability to problem solve and think critically to identify trends.</li><li>
Demonstrated proficiency in Microsoft 365 (Teams, Outlook, OneDrive, SharePoint) within a cloud-based, collaborative environment.</li></ul>
Experience and Education<ul><li>
High school graduate or equivalent required.</li><li>
Three (3) years of healthcare industry experience required.</li><li>
One (1) year of healthcare claims billing, insurance collections, coding, and/or denials management required.</li><li>
Specific healthcare payer experience may be required (e.g., Medicare or state-specific payers).</li><li>
Obtain HFMA CRCR or AAHAM CRCS accreditation within two years of employment and maintain certification in good standing.</li></ul>
Pay Range: $18+ per hour
Schedule: Monday- Friday 8am-5pm
We value our employees and offer a comprehensive benefits package including medical insurance, 401(k), paid time off, paid holidays, tuition reimbursement, and additional supplemental benefits. 
 
SHERLOQ is an Equal Opportunity Employer and considers all qualified applicants without regard to race, color, religion, sex, national origin, disability, or veteran status.
If you feel this is the right opportunity for you, we encourage you to apply. We look forward to meeting you!</div>

Specialist, Insurance Revenue Cycle

PrestigePEO

<div>
 
 Position Description:
 
 
 
 This person will manage the relationship with our clients and brokers. They will function strategically for the overall scope of the client. They will be the primary lead for benefit management and growth for the Client; Work Site Employees; Brokers &amp; Insurance vendors.
 
 
 
 Roles &amp; Responsibilities
 
 
 
 <ul>
 <li>
 Consultative and strategic planning around assigned brokers and clients for retention and growth opportunities
 </li>
 <li>
 Lead team of Benefits Specialist in day-to-day management
 </li>
 <li>
 Conduct presentations and meet with employees to discuss the array of benefit choices available
 </li>
 <li>
 Manage the renewal process
 </li>
 <ul>
 <li>
 Participate continually in medical underwriting process with internal partner/team
 </li>
 <li>
 Communicate renewal materials to client and broker
 </li>
 <li>
 Prepare materials for employees based on client specifications
 </li>
 <li>
 System update of changes
 </li>
 <li>
 Presentation of changes in person or via Ring Central
 </li>
 <li>
 Benefit Enrollment portal assistance
 </li>
 <li>
 Auditing and confirming for clients the employees who have enrolled and their elections
 </li>
 </ul>
 <li>
 Manage Client expectations
 </li>
 <li>
 Work daily with internal benefits team to provide guidance and/or resolve service problems to both employees and clients pertaining to:
 </li>
 <ul>
 <li>
 Claim Issues
 </li>
 <li>
 Eligibility problems
 </li>
 <li>
 Billing discrepancies
 </li>
 <li>
 Benefit problems
 </li>
 <li>
 COBRA
 </li>
 </ul>
 <li>
 Work with internal client facing teams on combined strategy and continual communication around clients. Collaborate, analyze and problem solve as a team
 </li>
 <li>
 Manage communications materials for client worksites and co-employees regarding benefits in addition to any changes in benefits
 </li>
 <li>
 Attend appropriate industry functions and participate in relevant industry training
 </li>
 <li>
 Develop and maintain an extensive knowledge of insurance coverage, markets and changes
 </li>
 <li>
 ACA Compliance guidance and understanding
 </li>
 <li>
 Participate in vendor meetings
 </li>
 <li>
 Process life event and status changes
 </li>
 <li>
 Oversee the administration of non-Prestige plans
 </li>
 <li>
 Conduct audits with Operations Team
 
 
 </li>
 </ul>
 
 Required Skills:
 
 
 
 <ul>
 <li>
 Strong interpersonal skills
 </li>
 <li>
 Minimum of 5 years management of a team (developed, coached, trained, mentored)
 </li>
 <li>
 Ability to handle multiple renewals at a time
 </li>
 <li>
 Excellent written, oral, presentation skills
 </li>
 <li>
 Thorough understanding of employee group benefits including COBRA
 </li>
 <li>
 Strong analytics
 </li>
 <li>
 Sales &ndash; upsell additional product offerings
 </li>
 <li>
 Ability to work independently or as part of a team
 </li>
 <li>
 Strong computer skills and the ability to adapt to new systems
 </li>
 <li>
 The ability to work in a high-pressure environment
 </li>
 <li>
 Knowledge of an HRIS system, Salesforce and Prism preferred
 
 
 </li>
 </ul>
 
 Required Experience:
 
 
 
 <ul>
 <li>
 </li>
 <ul>
 <li>
 Minimum of ten years or equivalent client and sales experience in group employee benefits
 </li>
 <li>
 Thorough understanding of group health plans and the ability to analyze and prepare recommendations
 </li>
 <li>
 Experienced in a consultative and strategic role
 </li>
 <li>
 NY Health and Life License required or within 60 days of employment
 </li>
 <li>
 Experience in a consultative and strategic environment, role, and relationship
 
 </li>
 </ul>
 </ul>
 Hybrid role - 3 days in the office, 2 days work from home
 
 
 Powered by JazzHR
 
 
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</div>

New Business Account Manager

IBIS Healthcare

<div>QUALIFICATIONS:

High school diploma or equivalent required. Must be at least 21 years of age with a minimum of 2 years' experience transporting clients. Must be able to operate any Class 3 vehicles, such as sedan, van, or SUV. Experience in the mental health field or health care setting preferred. Must have the ability to communicate clearly and appropriately with patients, co-workers and visitors. Must have the ability to read and interpret documents such as safety rules, operating instructions, and procedure manuals. Must have leadership skills. Must meet minimum requirements for providers with which agency contracts. Must have a reliable source of transportation, a valid Florida driver's license, a clean driving record, and automobile insurance.

PHYSICAL DEMANDS:

Abilities in reaching, bending, talking, fingering, sitting, carrying, standing, grasping, fine hand coordination, ability to hear, ability to read and write, and the ability to remain calm under stress. Ability to reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl. Specific vision abilities include close, distance, color, peripheral, depth perception and the ability to adjust focus. Must be capable of lifting 50 pounds of dead weight alone. May be required to stand for an extended period.
WORK ENVIRONMENT:

General climate-controlled health care setting. Most work completed entails driving, administering and managing documentation, coordinating scheduled transportation, and overseeing staff and agency vehicles to ensure efficient and compliant operations. Interface with clients in an outpatient or acute care inpatient environment. Fast paced. Multi-tasking requires above average time management skills. Team approach.

FUNCTIONAL RESPONSIBILITIES INCLUDE:
<ul>
<li>Provide direct supervision for the program staff and ensure training compliance.</li>
<li>Interviews/hires prospective employees and orients them to program.
</li><li>Managing and organizing the continuous workflow of the workspace including the cleanliness and safety of the vehicles and workspace.</li>
<li>Maintain general knowledge of agency services available for clients.</li>
<li>Communicate effectively and maintain cooperative relationships with internal and external resources.</li>
<li>Complete documentation and/or data entry per agency requirements.</li>
<li>Managing necessary documentation for vehicle operation, maintenance, and billing.
</li><li>Other duties as needed per agency requirements.</li>
</ul>
COMPLIANCE RESPONSIBILITIES INCLUDE:
<ul>
<li>Adheres to all applicable federal, state, local, and company maintained standards of compliance, ethics, and policies concerned with the administration and delivery of agency services.</li>
<li>Ensures compliance with managed care transportation contracts by submitting accurate documentation to support timely and correct billing of transportation services.</li>
<li>Meets deadlines, requirements, and expectations as established by the supervisor, agency and department.
</li><li>Completes administrative functions and data entry timely and accurately.</li>
</ul>
CUSTOMER SERVICE RESPONSIBILITIES INCLUDE:
<ul>
<li>Provides exceptional customer service in all communications and interactions with clients, staff, and the general public.</li>
<li>Maintains confidentiality and remains calm under stress.</li>
<li>Assists staff with support in all areas of functional responsibility in a courteous, supportive manner.</li>
<li>Maintains and exhibits servant leadership qualities and exceeds customers' expectations.</li>
</ul>
FISCAL RESPONSIBILITIES INCLUDE:
<ul>
<li>Effective, efficient use of agency resources, systems, equipment and processes.</li>
<li>Continuous focus on cost savings initiatives across the responsibilities and deliverables.</li>
<li>Effective use of time management to avoid overtime and budgetary issues.</li></ul></div>

Transportation Coord-REACH

Markel Corporation

<div>What part will you play? If you&rsquo;re looking for a place where you can make a meaningful difference, you&rsquo;ve found it.
The work we do at Markel gives people the confidence to move forward and seize opportunities, and you&rsquo;ll find your fit amongst our global community of optimists and problem-solvers. We&rsquo;re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for managing a team of claims examiners possessing varied experience levels. This position will oversee the resolution of construction bodily injury and construction defect claims with low to high complexity and provide direction, coaching, and training. This position will report to the Senior Director of claims and be responsible for conveying the organization&rsquo;s objectives and priorities to staff and measure progress towards stated goals.
Responsibilities<ul><li>
Confirms coverage of claims by reviewing policies and documents submitted in support of claims</li><li>
Direct and monitor assignments of new loss activity for construction bodily injury and construction defect claims</li><li>
Review and approve correspondence and reports including coverage position letters and Large Loss Reports</li><li>
Review and approve reserves and settlements in excess of the authority of the handling specialist</li><li>
Make recommendations concerning reserve changes to Senior Director or Senior Management</li><li>
Participate in review and discussion of large loss activity in the general liability book with interested stakeholders (Underwriting, Actuarial, Executive Management)</li><li>
Ensure that team adheres to Fair Claims Practices regulations and internal performance objectives</li><li>
Assess and evaluate individual specialist and team performance, provide feedback and develop training needs</li><li>
Prepare and distribute reports by collecting and summarizing information</li><li>
Assist in preparation of budgets, evaluation of expenses and assess resource needs</li><li>
Foster and encourage strong relationships with internal stakeholders (Underwriting, Actuarial)</li><li>
Promote and enhance strong relationships with customers and channel partners</li><li>
Participate in special projects as requested</li><li>
Travel to other claim offices, mediations, trials, and conferences as required</li></ul>
Education<ul><li>
Bachelor&rsquo;s degree or equivalent work experience</li><li>
JD, advanced degree, or focused technical degree a plus</li></ul>
Certification<ul><li>
Must have or be eligible to receive claims adjuster license</li><li>
Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or</li><li>
I-Lead or other Management Training</li></ul>
Qualifications
<ul><li>Minimum of 10 years of claims handling experience or equivalent combination of education and experience</li><li>
Successful completion of 5 years as a Senior Claims Specialist or Executive Claims Specialist a plus</li><li>
Excellent written and oral communication skills</li><li>
Strong analytical and problem solving skills</li><li>
Strong organization and time management skills</li><li>
Ability to deliver outstanding customer service</li><li>
Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)</li><li>
Ability to work in a team environment</li><li>
Strong desire for continuous improvement</li><li>
Markel offers hybrid working schedules of 3 days in the office and 2 days remote.</li></ul>
#LI-Hybrid
#LI-SY
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Pay information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary range for the Manager, Claims is $97,520 - $134,090 with 25% incentive.<div><div>
Who we are:</div><div>
Markel Group (NYSE &ndash; MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.</div><div> 
We&rsquo;re all about people | We win together | We strive for better</div><div> 
We enjoy the everyday | We think further</div><div> 
What&rsquo;s in it for you:</div><div>
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.</div><div><ul><li>
We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees&rsquo; needs at all stages of life.</li></ul></div><div><ul><li>
All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&amp;D insurance.</li></ul></div><div><ul><li>
We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.</li></ul></div><div> 
Are you ready to play your part?</div><div>
Choose &lsquo;Apply Now&rsquo; to fill out our short application, so that we can find out more about you.</div></div><div><div> 
Caution: Employment scams</div><div>
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These &quot;job offers&quot; include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:</div><div><ul><li>
All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.</li></ul></div><div><ul><li>
All legitimate communications with Markel recruiters will come from Markel.com email addresses.</li></ul></div><div> 
We would also ask that you please report any job employment scams related to Markel to rarecruiting@markel.com.</div><div> 
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. 
Should you require any accommodation through the application process, please send an e-mail to the rarecruiting@markel.com.
No agencies please.</div></div></div>

Manager, Construction Claims

Neuvo Medical Spa

Job Summary (Primary care office) Here at Windsor Medical Clinic we are seeking a dedicated and energetic Physician Assistant to join our dynamic healthcare team. In this vital role, you will provide high-quality patient care across various clinical settings, including inpatient, outpatient, emergency, and specialty care environments. Your expertise will support physicians and healthcare providers in delivering comprehensive assessments, diagnoses, and treatment plans. You will play a key role in managing acute and chronic conditions, performing procedures, and ensuring optimal patient outcomes through compassionate care and clinical excellence. This position offers an exciting opportunity to work in a fast-paced environment where your skills directly impact patient health and well-being.Duties<ul><li>Conduct patient histories and focused physical exams</li><li>Diagnose and manage acute illnesses (URIs, UTIs, minor injuries)</li><li>Manage chronic conditions (diabetes, HTN, COPD, asthma, hyperlipidemia)</li><li>Order, interpret, and act on labs and imaging (EKG, x‑ray, basic labs)</li><li>Prescribe and adjust medications; manage refills and polypharmacy</li><li>Provide preventive care: immunizations, screening, wellness visits</li><li>Perform office procedures: suturing, wound care, I&amp;D, joint injections, ear procedures</li><li>Develop and document treatment plans and follow-up instructions</li><li>Provide patient education and counseling, including lifestyle and medication adherence</li><li>Coordinate referrals and consults with specialists; follow up on results</li><li>Triage phone calls, manage urgent same‑day visits, and decide disposition</li><li>Maintain accurate EHR documentation, e‑prescribing, and coding for billing</li><li>Participate in quality improvement, population health outreach, and panel management</li><li>Supervise and collaborate with nursing and medical assistants; precept trainees when applicable</li><li>Ensure compliance with legal/regulatory requirements and scope-of-practice limits</li></ul>Skills<ul><li>History-taking and focused physical exam skills</li><li>Differential diagnosis and clinical reasoning for common outpatient problems</li><li>Chronic disease management (diabetes, HTN, COPD, asthma, hyperlipidemia)</li><li>Acute care diagnosis/treatment (URI, UTIs, minor injuries)</li><li>Medication management, safe prescribing, and dose adjustments</li><li>Preventive care: immunizations, screening guidelines, wellness counseling</li><li>Basic procedural skills: suturing, joint injections, incision &amp; drainage, heel lance/catheterization as relevant</li><li>Interpretation of common tests: EKG, chest X-ray, basic lab results, point-of-care tests</li></ul>Work Location: In person

Physician Assistant

Overview (Primary care office) Join our dynamic healthcare team at Windsor Medical Clinic as a Nurse Practitioner, where your expertise will make a meaningful difference in patient care across diverse settings. This role offers an exciting opportunity to utilize your advanced clinical skills, collaborate with multidisciplinary teams, and provide comprehensive medical services. You will be at the forefront of delivering high-quality care, managing complex cases, and supporting patient recovery and well-being in outpatient, inpatient, and specialized care environments. We are seeking energetic professionals passionate about improving health outcomes and committed to continuous learning.Duties<ul><li>Conduct patient histories and focused physical exams</li><li>Diagnose and manage acute illnesses (URIs, UTIs, minor injuries)</li><li>Manage chronic conditions (diabetes, HTN, COPD, asthma, hyperlipidemia)</li><li>Order, interpret, and act on labs and imaging (EKG, x‑ray, basic labs)</li><li>Prescribe and adjust medications; manage refills and polypharmacy</li><li>Provide preventive care: immunizations, screening, wellness visits</li><li>Perform office procedures: suturing, wound care, I&amp;D, joint injections, ear procedures</li><li>Develop and document treatment plans and follow-up instructions</li><li>Provide patient education and counseling, including lifestyle and medication adherence</li><li>Coordinate referrals and consults with specialists; follow up on results</li><li>Triage phone calls, manage urgent same‑day visits, and decide disposition</li><li>Maintain accurate EHR documentation, e‑prescribing, and coding for billing</li><li>Participate in quality improvement, population health outreach, and panel management</li><li>Supervise and collaborate with nursing and medical assistants; precept trainees when applicable</li><li>Ensure compliance with legal/regulatory requirements and scope-of-practice limits</li></ul>Skills<ul><li>History-taking and focused physical exam skills</li><li>Differential diagnosis and clinical reasoning for common outpatient problems</li><li>Chronic disease management (diabetes, HTN, COPD, asthma, hyperlipidemia)</li><li>Acute care diagnosis/treatment (URI, UTIs, minor injuries)</li><li>Medication management, safe prescribing, and dose adjustments</li><li>Preventive care: immunizations, screening guidelines, wellness counseling</li><li>Basic procedural skills: suturing, joint injections, incision &amp; drainage, heel lance/catheterization as relevant</li><li>Interpretation of common tests: EKG, chest X-ray, basic lab results, point-of-care tests</li></ul>Work Location: In personWork Location: In person

Nurse Practitioner

Park Pointe Properties

We are seeking an experienced and motivated Property/Business Manager to oversee a 200-unit apartment community in the Mid Town / Tampa area. The ideal candidate is a self-starter with strong leadership, financial, and operational management skills who is committed to maintaining a high-performing community.Key Responsibilities<ul><li>Develop, administer, and maintain systems to effectively manage the community.</li><li>Prepare and submit weekly owner reports.</li><li>Manage and obtain bids for capital improvement projects.</li><li>Ensure proper procedures are followed when ordering materials and services.</li><li>Calculate operating expense pass-throughs and common area maintenance and in unit charges.</li><li>Serve as the primary point of contact for resident concerns and resolve tenant issues.</li><li>Review and settle questionable tenant charges.</li><li>Ensure the financial stability and performance of the property.</li><li>Review and approve invoices for assigned properties.</li><li>Conduct weekly property inspections and tours.</li><li>Coordinate subcontractor activities and oversee maintenance contracts.</li><li>Ensure all vendors provide current certificates of insurance.</li><li>Supervise tenant improvement projects and verify proper billing of construction-related fees.</li><li>Manage, train, and develop on-site staff.</li><li>Assist with apartment marketing and leasing activities as needed.</li><li>Communicate unusual property issues to ownership promptly and provide recommended solutions.</li><li>Complete special projects, reports, and assignments as requested.</li><li>Ensure compliance with Fair Housing regulations and HUD guidelines.</li><li>Maintain occupancy levels of 95% or higher while maximizing rental revenue in line with the current market.</li><li>Perform other duties as assigned.</li></ul>Qualifications<ul><li>Minimum of 2 years of on-site property management experience at the Manager level.</li><li>Strong leadership and team management skills.</li><li>Excellent verbal and written communication abilities.</li><li>Proven ability to manage budgets, operations, and resident relations.</li><li>Strong organizational and problem-solving skills.</li><li>Self-motivated with the ability to work independently.</li><li>Knowledge of Fair Housing and HUD regulations preferred.</li></ul>What We're Looking For<ul><li>Self-Starter</li><li>Professional and Dependable</li><li>Detail-Oriented</li><li>Customer Service Focused</li><li>Results-Driven</li></ul>To Apply: Please email your resume for consideration and interview scheduling.We are an Equal Opportunity Employer.Job Type: Full-timePay: $24.00 - $26.00 per hourBenefits:<ul><li>Employee discount</li><li>Paid time off</li><li>Referral program</li></ul>Work Location: In person

Property/Business Manager needed for Westshore/Mid Town Apartment Community

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