The specialist is responsible for reviewing, drafting, redlining, and negotiating contracts to ensure compliance with company policies and legal requirements. They also manage contract documentation within a database and serve as a resource for internal and external clients regarding contract interpretation.
This position performs insurance verification and authorization functions to ensure compliance with billing requirements and department standards. The representative manages authorization requests across various service lines while maintaining accurate records in host systems.
The IT Solution Analyst II is responsible for the build, maintenance, and configuration of clinical IT systems including orders, documentation, and diagnostic tools. They act as a liaison across departments to define system requirements, manage project implementations, and ensure high-quality technical support for clinicians.
The Healthcare Scheduler is responsible for managing inbound and outbound calls to schedule, reschedule, and cancel patient appointments across various medical departments. They must also verify insurance information, obtain necessary authorizations, and provide patients with accurate pre- and post-test instructions.
The representative is responsible for checking claim statuses, resolving denials, and ensuring accurate reimbursement for healthcare services. They will identify payment trends, manage account receivables, and maintain professional communication with payers and internal departments.
This role focuses on quality assurance for ambulatory coding by resolving complex denials, identifying trends, and ensuring accurate alignment of clinical documentation with billing codes. The associate provides expert guidance to medical staff and coders to improve documentation quality and maintain regulatory compliance.
The Senior Digital Product Designer will lead the UI/UX design of digital consumer health solutions, taking projects from initial sketches to high-fidelity prototypes. They will collaborate with cross-functional teams to ensure intuitive, accessible, and consistent user experiences across web, mobile, and voice platforms.
The RN manages health plan consumer cases by performing pre-service determinations, concurrent reviews, and care coordination to ensure optimal clinical and financial outcomes. They collaborate with internal and external stakeholders to facilitate appropriate care while maintaining accurate documentation in accordance with federal and state regulations.
Evaluates medical records to assign accurate clinical diagnosis and procedure codes in accordance with national guidelines. Collaborates with medical providers to clarify documentation and ensures compliance with regulatory standards.
Analyzes medical records to accurately code diagnostic and procedural information in accordance with national guidelines. Abstracts clinical data into electronic medical records and ensures compliance with regulatory standards.
The Coding Educator develops and coordinates training materials for Health Information Management staff and providers to ensure accurate documentation and coding. They also conduct skill assessments, provide technical support for information systems, and ensure compliance with regulatory standards.
Performs complex professional coding for specialty physician practices by analyzing medical records and assigning accurate diagnostic and procedure codes. Mentors less experienced staff and ensures compliance with national coding guidelines and regulatory requirements.
The Registered Dietitian provides comprehensive nutrition assessments, evidence-based education, and personalized care plans for members via telephonic and video visits. They collaborate with an interdisciplinary team to monitor patient progress and contribute to program initiatives and quality improvement activities.
The intern will expand their knowledge of healthcare practices by participating in various projects and work teams. Responsibilities include performing research, preparing reports, and providing service to internal and external customers.
The intern will expand their knowledge of healthcare practices and procedures by participating in various projects and work teams. Responsibilities include performing research, preparing reports, and providing service to internal and external customers.
Evaluates medical records to provide clinical and surgical abstraction for complex cardiology professional services. Ensures accurate diagnostic and procedural coding in compliance with national guidelines and reimbursement requirements.
