The Digital Mailroom Specialist is responsible for managing high volumes of mail, including identifying, indexing, and scanning documents. They must ensure productivity metrics are met while maintaining high quality and providing outbound customer service.
The Digital Mailroom Specialist is responsible for managing high volumes of mail, performing electronic indexing, and scanning documents. They must ensure productivity metrics are met while maintaining high quality and accuracy in processing.
The role involves reviewing and classifying incoming grievance and appeals documents while accurately entering data into client systems. You will also be responsible for verifying member information and ensuring all processes adhere to HIPAA and data privacy standards.
The Certified Coding Specialist is responsible for reviewing medical documentation to assign accurate diagnosis and procedure codes for inpatient and outpatient services. They also manage coding-related claim denials, front-end claim edits, and collaborate with revenue cycle teams to ensure compliance and maximize reimbursement.
The role involves designing, developing, and maintaining scalable web applications using ASP.NET Core and modern front-end frameworks. You will also lead technical design discussions, mentor junior developers, and drive DevOps best practices across cross-functional teams.
The role involves owning the mobile application technology roadmap, architecture governance, and platform stability while managing vendor collaborations. Additionally, the manager will mentor engineering teams, drive capability development, and oversee the end-to-end mobile release management process.
The specialist will manage patient accounts by responding to inquiries, processing payments, and assisting with outstanding balances. They are also responsible for verifying insurance information and evaluating patients for charity eligibility while maintaining accurate account records.
Performs daily quality audits of call center personnel and production activities to ensure compliance and performance. Provides detailed quality monitoring reports and feedback to management to recommend educational opportunities and process improvements.
Audit mortgage loan files to ensure accuracy of information and verify the presence of all required documentation. Analyze credit, collateral, and capacity while maintaining a high accuracy rate and mentoring junior analysts.
The specialist is responsible for collecting on aging medical insurance claims by filing claims and researching account denials. They must verify patient benefits and document all efforts within the CUBS system to ensure claim integrity.
Manage and resolve clinically related claim denials by reviewing documentation and submitting professional appeals. Track denial trends and identify process improvement opportunities to ensure compliance with federal and payer regulations.
The specialist is responsible for collecting on aging medical insurance claims and filing claims with appropriate documentation. They must research account denials, file written appeals, and maintain detailed documentation in the CUBS system.
The role focuses on ensuring timely reimbursement by following up on outstanding hospital and physician claims and resolving insurance denials. It involves monitoring payer trends, submitting appeals, and maintaining detailed documentation of all billing activities.
The specialist is responsible for managing hospital and physician claims to ensure timely reimbursement and resolve insurance denials. This includes monitoring outstanding claims, submitting appeals, and documenting all follow-up activities in the billing system.
The Solutions Architect designs and optimizes cloud-native BPaaS environments, focusing on scalability, security, and performance. They are responsible for implementing integration patterns using middleware gateways and aligning technical designs with business requirements.
Lead the design and execution of scalable integration solutions and APIs for healthcare payer clients. Monitor and resolve complex production issues while ensuring compliance with HIPAA and HITRUST standards.
Design, build, and maintain system integrations across an enterprise BPaaS platform to ensure interoperability between core administrative platforms and partner systems. Develop reusable applications for data transformation and workflow automation while ensuring compliance with security standards like HIPAA and SOC2.
