The specialist manages the release of protected health information while ensuring compliance with HIPAA, state, and federal regulations. They perform quality assessment reviews on disclosures and provide support to hospital staff, physicians, and patients.
The incumbent is responsible for scheduling patient appointments, including diagnostic, surgical, and physician office visits. They must also verify demographic and insurance information while maintaining high quality metrics in a call center environment.
Perform timely follow-up on assigned accounts using A/R reports to ensure the collection of outstanding balances. Manage insurance denials by utilizing payer guidelines, medical documentation, and compendia resources to optimize recovery efforts.
The Technical Director will lead engineering teams to develop and implement AI-driven solutions while managing the full product lifecycle. This role involves hiring and mentoring top engineering talent while driving strategic technical roadmaps in a high-scalability environment.
The associate retrieves and validates clinical documents for electronic health records and manages the release of protected health information in compliance with HIPAA. They also interview patients to obtain accurate information for birth certificates while maintaining high accuracy and productivity standards.
The specialist manages the release of protected health information while ensuring compliance with HIPAA, state, and federal regulations. They perform quality assessment reviews on disclosures and provide support to hospital staff, physicians, and patients.
The Project Manager will lead initiatives related to emerging technologies and access integration to transform the consumer and patient access framework. They are responsible for managing complex projects, ensuring timely delivery, and overseeing change management and post-live support.
The Clinical Documentation Integrity Specialist is responsible for improving the quality, completeness, and clinical accuracy of inpatient documentation and DRG assignment. They perform targeted concurrent DRG validation using electronic health record workflows and analytics-informed prioritization to manage reimbursement and clinical risks.
Develop and direct a recruitment team to source and deliver qualified candidates aligned with the organization's mission and growth initiatives. Manage complex vendor negotiations, track recruitment metrics, and implement creative strategies to improve retention and staffing efficiency.
The incumbent is responsible for requesting, validating, and following up on insurance authorizations, referrals, and notifications using appropriate medical coding. They will also coordinate patient flow and maintain knowledge of revenue cycle operations within a call center environment.
The Manager of General Accounting leads a team of accounting professionals to ensure system-wide compliance with accounting regulations and procedures. They also collaborate with internal entities and manage external audit requirements to facilitate prompt problem resolution.
The specialist manages the release of protected health information while ensuring compliance with HIPAA and state/federal regulations. They perform quality assessment reviews on disclosures and provide support to hospital staff, physicians, and patients.
The associate is responsible for supporting the revenue cycle through insurance verification, financial screening, and accurate patient registration. They must also manage collections and maintain effective communication with patients and clinical teams in a high-volume virtual environment.
The Physician Assistant manages the care of complex acutely ill patients through face-to-face or telehealth interactions in collaboration with supervising physicians. They are responsible for performing assessments, ordering diagnostic tests, developing treatment plans, and facilitating optimal patient outcomes.
The System Administrator provides day-to-day application security and configuration support for PeopleSoft supply chain modules. They are responsible for leading security audits, managing workflow processes, and collaborating with ERP development teams to resolve complex system issues.
The Lead Cloud Cyber Security Engineer will plan, implement, and manage security measures to protect data, systems, and networks across on-premise and cloud environments. They will also lead vulnerability testing, respond to security breaches, and provide guidance to team members on security best practices.
The employee is responsible for managing a portfolio of governmental insurance accounts to ensure timely and accurate reimbursement. They will communicate with payers and internal teams to verify eligibility and resolve billing activities.
The Risk Adjustment Coordinator performs pre and post-visit chart reviews and analysis to improve practice risk scores. They also coordinate projects and provide coding education to healthcare providers to ensure compliance and favorable outcomes.
The Principal Cyber Security Engineer will design, implement, and manage security measures to protect organizational data, systems, and networks across on-premise and cloud environments. They will also lead security breach responses, conduct vulnerability testing, and provide guidance to team members on security best practices.
The Lead Coding Specialist assists the Coding Supervisor in overseeing coding, abstracting, and reimbursement operations to ensure compliance and efficiency. They are responsible for monitoring workflows, providing staff training, and ensuring accurate processing in accordance with state and federal regulations.
The analyst is responsible for tracking and trending physician delinquency reports and notifying medical staff regarding pending delinquent records. They also prepare reports and graphs for medical record committee meetings and ensure compliance with accreditation standards.
Assists in the management and supervision of Health Information Management department functions including documentation analysis, record retrieval, and document imaging. Supervises 15 to 30 FTEs while ensuring quality and productivity standards are met across multiple healthcare facilities.
Responsible for managing and editing daily downloads of Managed Care and HMO claims to ensure accurate and timely transmission. Identifies and resolves missing or invalid claim data by coordinating with other departments to maintain compliance and meet filing deadlines.
The associate is responsible for verifying insurance and demographic information and scheduling patient appointments within a call center environment. They must coordinate patient flow and maintain knowledge of pricing and financial assistance options to address patient concerns.
Collaborate with multi-specialty care teams in a call center environment to handle clinical phone calls from patients and facilities. Perform administrative tasks including triaging calls, scheduling appointments, and processing medical documents and prescription refills.
Perform comprehensive audits of physician and clinical fees to ensure coding integrity, medical necessity, and compliance with federal guidelines. Develop and lead educational curriculums and webinars for providers based on audit trends and regulatory changes.
Responsible for the fiscal coordination of local, federal, state, and private grants and contracts. Liaises with Corporate Finance and the Foundation to ensure compliance with government regulations and agency requirements.
The Pool Resuscitation Educator structures the learning environment for positive student outcomes and is involved in the design, delivery, evaluation, and coordination of resuscitation education activities. They also mentor and develop new and existing resuscitation instructors.
Perform comprehensive audits of physician and clinical fees to ensure coding integrity, medical necessity, and compliance with federal guidelines. Develop and lead educational curriculums and webinars for providers based on audit trends and regulatory changes.
The Pool Resuscitation Educator is responsible for structuring the learning environment for positive student outcomes in resuscitation education courses. They design, deliver, evaluate, and coordinate resuscitation activities for staff requiring certifications.
The MCI Quality Assurance Specialist 2 ensures that industry standards of quality are met and exceeded. Responsibilities include providing education and support to Operations staff, facilitating SOP functions, and identifying process improvement opportunities.
