The Managed Care Contract Specialist leads the payor contract management cycle, including negotiation, financial modeling, and implementation. They act as a liaison between internal and external entities to maximize contract terms and ensure operational performance.
The Patient Access Representative is responsible for accurately registering patients in the EMR, verifying insurance coverage, and managing patient scheduling. They also handle payment collections, resolve billing discrepancies, and ensure a high-quality patient experience through effective communication and administrative support.
The representative is responsible for accurately registering patients in the EMR, verifying insurance coverage, and managing patient scheduling. They also handle payment collections, resolve billing discrepancies, and ensure a high-quality patient experience.
The Coder abstracts clinical information from medical records and assigns accurate ICD-10 and CPT-4 codes according to established guidelines. They also communicate with HIM staff regarding missing information and assist the business office with reimbursement clarification.
Design, develop, configure, and support interfaces, including analyzing requirements, documenting specifications and HL7 mappings, and coordinating testing. Triage and troubleshoot interface issues, investigate errors, and work with team members to implement solutions.
The Payor Relations Coordinator assists in the financial analysis, development, and maintenance of managed care contracts to ensure accurate reimbursement. They act as a liaison between internal departments to resolve operational, clinical, and reimbursement issues.
Prepare and maintain general ledger entries, meet monthly, quarterly, and year-end close deadlines, and prepare required tax and financial reports. Reconcile and analyze account balances, prepare audit schedules, and support accounting projects and reporting activities.
The Epic Application System Analyst 3 designs, configures, and maintains Epic systems to maximize organizational performance. They provide technical support, analyze workflows, and collaborate with stakeholders to ensure effective integration of technology solutions.
The auditor performs audits of medical records and charge codes to ensure compliance with government and non-government billing regulations. They also develop process improvement initiatives to resolve billing problems and provide education to hospital staff regarding coding practices.
The Benefit Navigator provides high-touch guidance to team members regarding benefit life events and leave-related processes. They manage case resolution, maintain accurate documentation, and collaborate across departments to ensure seamless service delivery.
The analyst ensures compliance with federal, state, and local regulations regarding tuition, education assistance, and workforce sponsorship programs. They conduct internal audits, develop dashboards for leadership, and implement corrective actions to maintain institutional eligibility and operational integrity.
The analyst designs, configures, and maintains Epic application systems to optimize organizational performance and workflow efficiency. They facilitate solution design, project scoping, and data-driven performance improvement while ensuring the security and integrity of organizational data.
The Financial Analyst will track, reconcile, and analyze income across value-based care arrangements and payer contracts to ensure revenue integrity. They will also prepare recurring financial reports, forecasts, and actionable insights to support strategic decision-making for the Health Leaders Network.
