The Billing Specialist is responsible for managing the full revenue cycle, including resolving claim denials and rejections for assigned clients. They will also monitor industry trends, ensure billing accuracy, and maintain compliance with healthcare regulations.
The Billing Coordinator manages daily billing, electronic claims submission, and payment posting to ensure accurate revenue cycle management. They also verify patient eligibility and maintain relationships with third-party payers to maximize cash flow.
Manage the monthly contract-billing process for rehabilitation units, including data validation, invoice finalization, and revenue reconciliation. Partner with operational and accounting teams to ensure financial accuracy, resolve billing discrepancies, and identify opportunities for process automation.
The Staff Accountant will support monthly balance sheet reconciliations, month-end close procedures, and financial analysis for designated facilities. They will also assist with annual budgets, quarterly reviews, and audit processes while collaborating with facility leadership.
The AVP of Provider Contracting oversees and executes medical staff development plans and recruitment strategies for their division. They lead the recruitment team, mentor staff, and collaborate with leadership to achieve retention targets and ensure market competitiveness.
The Inpatient Coding Specialist is responsible for coding IRF records using current ICD versions and maintaining coding schedules as assigned. They also collaborate with the PPS Coordinator to assign impairment codes and serve as a backup for transmitting IRF PAIs.
The analyst is responsible for auditing medical coders, performing quality assessments of records, and providing education on coding guidelines. They also manage projects, research documentation errors, and ensure compliance with regulatory standards.
The Insurance Credit Specialist is responsible for analyzing insurance accounts, resolving credit balances, and managing unapplied cash activity. They must effectively communicate with insurance carriers and patients to resolve billing discrepancies while maintaining accurate documentation and PHI confidentiality.
The Staff Accountant II manages the end-to-end general ledger close process and performs financial analysis for designated hospital sites. They also collaborate with hospital leadership to ensure financial accuracy, compliance, and the achievement of operating metrics.
The Senior Analyst will support behavioral health facilities by performing financial analysis, managing net revenue oversight, and maintaining internal controls. They will also prepare monthly cash and AR realization analyses, borrowing base calculations, and assist with audit-related activities.
The specialist processes initial appointments, reappointments, and privileging applications while performing primary source verification for healthcare providers. They also maintain provider records in credentialing systems and ensure ongoing compliance with regulatory standards and medical staff bylaws.
Conducts facility surveys and readiness assessments to ensure compliance with local, national, and federal Environment of Care and Life Safety codes. Develops corrective action plans and assists in the maintenance of annual safety, security, and emergency management plans.
Serve as an interim Director of Nursing and Quality across various behavioral health facilities to direct psychiatric care delivery. Ensure compliance with state and federal regulations while managing staffing, budgets, and quality risk programs.
Responsible for completing and following up on insurance claims to ensure prompt and accurate payment. Manages Medicare rejections, bad debt logs, and first-level appeal submissions while adhering to HIPAA standards.
Design and deploy AI-powered autonomous workflows and agentic systems to automate manual business processes. Implement secure multi-step AI pipelines and integrate them with enterprise systems like ServiceNow and Okta.
Design and maintain secure API infrastructure and MCP server implementations to connect AI agents with enterprise platforms like ServiceNow and Okta. Ensure integration health, security compliance, and comprehensive documentation for agentic workflows.
Lead the growth and operational performance of the Clinically Integrated Network and Accountable Care Organization under value-based reimbursement models. Oversee network expansion, data analytics, and the implementation of clinical care pathways to improve patient outcomes and cost-effectiveness.
Lead the growth and operational performance of the Clinically Integrated Network (CIN) and Accountable Care Organization (ACO) under value-based reimbursement models. Develop clinical care pathways and manage payer relationships to improve patient outcomes and financial performance.
Assign diagnosis and procedure codes for various outpatient care episodes while ensuring compliance with official guidelines and hospital policies. Maintain high accuracy and productivity standards while collaborating with medical staff to resolve documentation issues.
The specialist performs coding quality reviews for professionals to ensure accuracy and adherence to official guidelines and company policies. They identify educational trends, prepare audit summaries for leadership, and serve as a coding resource for the organization.
Assign accurate diagnosis and procedure codes for inpatient encounters following official guidelines and hospital policies. Ensure compliance with CMS and AHIMA standards while collaborating with medical staff to resolve documentation issues.
The Senior Epic Hospital Billing Analyst provides high-level analytical support to optimize Epic EMR workflows and lead multiple system enhancement projects. They mentor junior analysts and collaborate with senior leadership to implement enterprise-level solutions across the health system.
Lead and oversee accounts receivable operations for behavioral health services, ensuring timely third-party billing and optimal reimbursement. Manage AR workflows, monitor performance metrics, and provide technical guidance to staff to maintain financial integrity.
The Care Navigator assesses patient needs and coordinates care across various healthcare settings to support high-risk patients. They facilitate communication among the interdisciplinary team and ensure continuity of care while addressing social determinants of health.
This role oversees the operational execution of Hospital Based Services, including Hospital Medicine, Emergency Medicine, Anesthesia, and Radiology, by establishing standardized workflows and monitoring performance metrics. The Director will manage structured engagement with providers and facility leaders, operationalize strategy through contracting, and use data to optimize provider performance and organizational outcomes.
