The Triage Specialist manages patient calls, prioritizes requests based on severity, and coordinates care by scheduling appointments and processing pharmacy requests. They also document all patient interactions and facilitate communication between doctors and patients.
The RCM Specialist is responsible for managing revenue cycle processes including billing, coding, payment posting, and accounts receivable follow-up. They also handle insurance claim submissions, resolve denials, and address patient inquiries regarding their accounts.
The Patient Relations Specialist manages inbound and outbound calls to schedule appointments and address patient needs while maintaining accurate electronic records. They are responsible for verifying insurance, capturing demographic information, and ensuring high-quality service in accordance with clinic protocols.
The Financial Analyst will partner with operational leaders to drive strategic decision-making through financial modeling, forecasting, and analytical insights. The role involves analyzing complex datasets to identify trends and performance drivers while supporting business unit reviews and long-range planning.
The Insurance Verification Specialist is responsible for verifying patient insurance coverage, benefits, and eligibility. They also manage pre-registration processes and communicate pertinent information to internal departments and clinics.
The MIPS analyst acts as a bridge between practices and leadership to support the Quality Payment Program and Merit-Based Incentive Payment System. Responsibilities include auditing data, validating submissions to CMS, and serving as the primary point of contact for practice inquiries.
Manage the full lifecycle of provider enrollments with Medicare, Medicaid, and commercial payers to ensure timely revenue cycle activation. Coordinate hospital privileging applications and maintain accurate provider data across various portals and internal systems.
Manage the full lifecycle of provider enrollments with Medicare, Medicaid, and commercial payers to ensure timely revenue cycle activation. Coordinate hospital privileging applications and maintain accurate provider data across various payer portals and internal systems.
The Intake Specialist – Insurance Authorization is responsible for the timely and accurate review of patient schedules and coordinating with personnel regarding insurance carriers. This role also involves obtaining pre-authorization and referral information from physician offices and insurance carriers.
