The Senior Revenue Integrity Analyst leads efforts to improve revenue results by evaluating clinical and financial processes from patient care to final billing. This role involves coordinating Charge Description Master integrity, mentoring staff, and collaborating with various departments to ensure compliance and accurate revenue capture.
The specialist provides financial support and analysis for research projects by collaborating with stakeholders to ensure accurate budgeting and reporting. They are responsible for maintaining compliance with funding regulations and institutional policies throughout the project lifecycle.
The specialist reviews and processes prior authorization and referral requests while ensuring medical necessity and insurance eligibility. They also collaborate with clinicians and patients to resolve authorization issues and maintain accurate documentation in electronic health records.
The Research Behavioral Interventionist will implement protocolized behavioral sleep programs for study participants via a secure web-based platform. They are responsible for progress assessment, ongoing participant support, and maintaining clear communication with the research team and investigators.
Manages all phases of research grant and contract administration, including budget development and ensuring compliance with sponsor and institutional guidelines. Provides expert guidance to research departments and supports the proposal submission process for complex projects.
The manager is responsible for overseeing prior authorization and referral teams to ensure compliance with company policies and regulatory requirements. They will also lead staff development, analyze authorization metrics, and collaborate with clinical teams to resolve issues impacting patient care.
The specialist reviews and processes prior authorization and referral requests while ensuring compliance with insurance eligibility and medical necessity standards. They also collaborate with clinicians to resolve authorization issues and maintain accurate documentation in the electronic health record.
The Nurse Practitioner or Physician Assistant will provide virtual visits and telephonic clinical support to patients during after-hours periods. Responsibilities include conducting assessments, managing patient care plans, and performing diagnostic and therapeutic interventions.
The Claims Review Specialist is responsible for evaluating medical claims to ensure accurate coding, documentation, and compliance with billing regulations. They analyze claim payment amounts against contracted rates and identify potential errors, underpayments, or fraudulent activity.
The Revenue Integrity Analyst II improves revenue results by analyzing clinical and financial processes and ensuring accurate charge capture and coding. The role involves leading revenue cycle initiatives, performing root cause analysis on data, and collaborating with various departments to ensure compliance.
The incumbent will design and execute independent research projects in transplantation immunology, including data analysis and manuscript preparation. They are also responsible for maintaining laboratory notebooks and providing functional guidance to technical and animal care personnel.
The Grants Administrator manages the full lifecycle of research grant proposals, including budget forecasting, financial reporting, and compliance monitoring. They serve as a primary liaison between Principal Investigators, department administrators, and grantor agencies to ensure accurate financial management and adherence to funding guidelines.
The Billing Representative is responsible for maintaining accurate billing records, processing payments, and managing insurance denials. They also collaborate with internal and external customers to resolve billing discrepancies and provide support to junior staff.
The Business Analyst will design, develop, test, and maintain software applications like QNXT while configuring system settings to match organizational workflows. They are responsible for analyzing business requirements, providing application support, and training end users to ensure effective system adoption.
Analyze surgical profitability, costs, clinical supply utilization, and operational performance to identify opportunities and quantify financial impact across the enterprise. Support Sustain initiatives through financial and analytic planning, reporting, system administration, project work, and clear communication of findings to leaders and stakeholders.
Coordinate behavioral health referrals and placement for patients across emergency departments, medical and surgical units, and inpatient behavioral health units, while monitoring system capacity and supporting admissions and inpatient throughput. Respond to communications from systemwide stakeholders, document and track work, assist with data analysis and reporting, and participate in department activities.
The representative is responsible for managing the patient check-in and discharge process, including verifying insurance and collecting demographic information. They also handle patient inquiries, process payments, and ensure accurate documentation within the system.
The Senior Analyst will support and optimize the StrataJazz Financial Planning & Analytics platform while developing financial reports and dashboards. This role acts as a bridge between finance, operational leaders, and technology partners to ensure accurate and actionable financial data for decision-making.
The surgical coder is responsible for reviewing patient medical records and translating diagnostic and procedural information into accurate codes for insurance reimbursement. They also provide technical guidance to medical staff and perform audits to ensure compliance with legal standards and coding guidelines.
Develop and implement coding quality assurance programs, review medical records for coding accuracy and documentation adequacy, and ensure compliance with coding guidelines and regulations. Educate coders and healthcare professionals, improve coding workflows, track quality metrics, and collaborate with stakeholders to resolve coding issues.
Manage programs and related projects, including coordinating teams, developing schedules and plans, overseeing budgets, and aligning initiatives with organizational goals. Analyze data, report on progress, collaborate with stakeholders, and identify and mitigate risks or deviations from plans.
The Clinical Research Associate will coordinate and monitor investigator-initiated oncology clinical trials across multiple sites to ensure regulatory compliance and data quality. Responsibilities include tracking trial progress, performing source document verification, and managing essential regulatory documentation.
The Finance Operations Lead will optimize data and analytic processes to support payer contract negotiations and hospital reimbursement strategies. The role involves leading complex financial analyses, mentoring junior staff, and providing data-driven recommendations to executive leadership.
The interventionist will deliver individual telehealth sessions for a multi-site cancer rehabilitation study, including cancer survivorship education and goal-setting. They are also responsible for documenting session content and timing within a REDCap database while adhering to study protocols.
The Surgical Coding Specialist is responsible for assigning accurate ICD-10, CPT, and HCPCS codes to patient encounters based on medical documentation. They also ensure compliance with regulatory guidelines and participate in coding audits to maintain high quality and reimbursement standards.
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 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.
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 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.
