The representative is responsible for reviewing and resolving guarantor account balances through inbound and outbound communication. They must accurately document all interactions, verify insurance and demographic information, and ensure compliance with HIPAA privacy guidelines.
The Triage RN is responsible for delivering high-quality patient care, performing assessments, and implementing nursing orders in accordance with established policies. They also coordinate care with providers and support staff while ensuring patient safety and providing education to patients and families.
The Billing Representative is responsible for maintaining accurate billing records, processing payments, and resolving complex billing discrepancies. They also collaborate with internal and external customers and provide support to junior staff to ensure billing accuracy.
The project manager is responsible for the daily execution of research study protocols, including procedural and managerial decision-making. They also oversee project budgets, participate in grant writing, and serve as the primary contact for outside vendors.
The lead is responsible for overseeing daily operations, including staff scheduling, training, and resolving patient inquiries. They ensure accurate collection of patient information while maintaining high standards of customer service and regulatory compliance.
The incumbent serves as the primary point of contact for procure-to-pay inquiries and resolves match exceptions within the supply chain department. They are responsible for tracking inquiries via ServiceNow, communicating with suppliers, and identifying recurring operational trends.
The supervisor manages patient billing and self-pay collections teams, ensuring the accuracy and timeliness of claims and account follow-ups. They are also responsible for staff hiring, training, performance evaluation, and developing departmental policies to maintain operational efficiency.
The Senior Clinical Research Associate coordinates a portfolio of investigator-initiated multicenter clinical trials, overseeing site activation, training, and regulatory compliance. They act as a central liaison for trial collaborators and ensure all protocol and data requirements are met throughout the study lifecycle.
Lead business development and manage strategic relationships with international commercial payers, identifying and advancing opportunities that support growth and expand international patient access. Build payer intelligence and opportunity reporting, coordinate cross-functional teams, and represent payer needs and risks in organizational strategy and account management.
The supervisor manages the daily operations of the claims resolution team, including work assignments, training, and performance management. They are responsible for overseeing the inventory of provider review requests and ensuring compliance with federal and state requirements.
Handle a high volume of inbound patient calls, schedule appointments, and respond to patient inquiries. Resolve complaints and routine issues while providing timely, efficient, and high-quality customer service.
The specialist reviews inpatient coding quality, identifies trends and knowledge gaps, and develops targeted educational programs. They collaborate with coding operations, CDI, and leadership to ensure coding accuracy and continuous workflow improvement.
The Coding Specialist is responsible for assigning accurate ICD-10, CPT, and HCPCS codes to patient encounters based on medical documentation. They also support coding compliance through audits and documentation improvement initiatives to ensure proper reimbursement.
The Supply Chain Specialist will analyze historical data and utilization trends to forecast demand and optimize inventory management strategies. They will also collaborate with clinical and operational teams to streamline logistics and ensure the timely delivery of essential medical products.
Lead medical economics strategy and analyze claims, utilization, costs, and outcomes to identify savings opportunities and assess the financial impact of healthcare initiatives. Develop analytical tools and reports, guide cost-containment and performance-improvement efforts, and collaborate with internal teams to evaluate population health interventions and value-based payment models.
The role involves processing and managing vendor authorizations while ensuring effective collaboration between the Utilization Management department and vendors. Responsibilities include maintaining authorization code management, resolving authorization issues, and promoting operational consistency.
The Coding Quality Specialist is responsible for monitoring and improving coding accuracy, documentation, and compliance with regulatory standards. They will also develop training programs for staff and analyze medical records to ensure adherence to official coding conventions.
The Research Manager leads research on medical technologies and products to support coverage decisions and utilization management policies. They manage the Medical Technology Assessment and Prior Authorization committees while collaborating with medical leadership to ensure alignment with clinical and regulatory standards.
The Coding QA Specialist is responsible for auditing medical records to ensure billing accuracy and compliance with regulatory standards. They also collaborate with clinical staff and coders to resolve discrepancies and provide training based on identified performance trends.
The supervisor leads a team focused on Medicaid claims quality, payment accuracy, and adjudication integrity. They are responsible for managing daily inventory, resolving complex claims issues, and collaborating cross-functionally to improve claims outcomes.
The Claims Review Specialist is responsible for reviewing and processing medical claims that require manual intervention to ensure accuracy and compliance with clinical guidelines. They must also collaborate with external departments to resolve claims errors and maintain performance goals regarding productivity and accuracy.
The Senior Revenue Analyst is responsible for analyzing, reporting, and optimizing revenue cycle data to support financial objectives. They collaborate with billing teams to address discrepancies, monitor KPIs, and implement process improvements to ensure billing accuracy.
The Trauma Data Analyst is responsible for developing and maintaining departmental databases and coordinating the submission of pertinent statistics and demographic data. They work closely with leadership and peers to ensure accurate documentation and smooth collaboration across the department.
Acts as a liaison between hospitals, insurance companies, and patients to verify coverage and obtain pre-authorizations for medical procedures. Educates patients on insurance benefits and manages the submission of accurate insurance claims.
The Program Manager serves as the operational hub for the Programs Team, coordinating logistics, managing project plans, and ensuring smooth communication. The role involves managing program data in Salesforce, improving operational workflows, and supporting training and event execution.
The IRB Vice Chair chairs convened IRB meetings and conducts expedited reviews to ensure compliance with federal, state, and local regulations. They lead the Other Events Committee and collaborate with Principal Investigators and leadership to protect human subject research.
The Executive Director executes the physician compensation strategy and manages a team of professionals to oversee provider compensation programs. This includes managing financial, operational, and regulatory aspects while driving process improvements and operational excellence.
The APP works remotely to manage provider in-basket folders, including patient messages and urgent refills. They collaborate with MA and nursing staff to ensure patient care and coverage during provider absences.
