The Pre-Certification Representative is responsible for obtaining and managing pre-authorizations from insurance companies for patient services. They also handle patient intake, verify insurance information, and ensure accurate data entry into the system while maintaining HIPAA compliance.
The Vice President of Revenue Cycle Management oversees the A/R team to manage insurance balances, resolve denied claims, and ensure effective client partnerships. They act as a technical expert on financial responsibilities and provide strategic recommendations based on payment trends and regulatory requirements.
The Physician Advisor conducts physician-to-physician reviews for medical necessity and provides clinical guidance to support utilization management teams. They also assist in improving documentation accuracy related to coding, severity of illness, and risk of mortality while ensuring compliance with regulatory standards.
The Supervisor will mentor and monitor Underpayment Analysts and Follow-up Representatives to ensure operational efficiency and productivity. They are responsible for performing payment variance analysis, identifying denial trends, and managing team performance to meet departmental goals.
Oversee the operational delivery of accounts receivable outsourcing engagements, including managing teams, supporting client inquiries, and maintaining positive client relationships. Monitor payment and denial trends, provide recommendations to clients, and ensure compliance with healthcare regulations, HIPAA, information security, and internal control requirements.
The analyst will maintain and optimize pricing transparency tools by auditing claims data and resolving data integrity issues. They will also ensure product compliance with industry regulations and provide support to internal teams and clients.
The Supervisor manages the daily operations of the inpatient coding team to ensure accurate, compliant, and timely coding delivery. They are responsible for monitoring productivity, overseeing workflow optimization, and providing performance feedback to coders.
The Senior Vice President of Revenue Cycle Management oversees operations related to collecting insurance balances, appealing denied claims, and resolving accounts receivable. They act as a technical expert for financial class responsibility and ensure compliance with organizational policies and HIPAA standards.
Coordinate user access, setup, maintenance, and termination across client and internal systems, including EMR, practice management, and payor portals. Troubleshoot access and phone-system issues, manage support tickets and documentation, communicate progress to stakeholders, and protect patient information in accordance with HIPAA and security policies.
Oversee daily accounts receivable team operations, including equitable work assignments, timely account follow-up, collections, quality reviews, productivity reporting, and staff training. Resolve client and operational issues while ensuring compliance with HIPAA, information security, confidentiality, and employee access requirements.
The Project Manager is responsible for managing technology engagements, including IT connectivity and application configuration, while ensuring project deliverables meet quality standards. They must proactively manage stakeholder expectations, facilitate meetings, and provide regular status reporting to internal and external teams.
The Vice President of Commercial Solutions is responsible for developing operational and financial models to support new business opportunities within revenue cycle services. They will lead cross-functional teams to define staffing strategies, pricing structures, and profitability benchmarks while ensuring compliance with HIPAA standards.
The Biller is responsible for charge capture, claim submission, and ensuring accurate patient demographic entry. They must analyze and resolve payer payment delays while maintaining strict adherence to HIPAA and information security standards.
The Power BI Analyst will design and develop reports to monitor revenue cycle performance and transform raw data into actionable business insights. They will also collaborate with stakeholders to ensure data accuracy, security, and compliance with HIPAA standards.
The Senior SQL Developer will design, develop, and maintain database systems, including SSIS projects and custom reports. They will also collaborate with the data team to resolve SQL issues and ensure efficient data management while adhering to HIPAA standards.
The Vice President leads enterprise-wide Patient Access transformation initiatives to improve financial performance, operational efficiency, and patient experience for health system clients. They are responsible for designing strategic roadmaps, mentoring high-performing teams, and implementing best-practice operating models across all revenue cycle functions.
The Contract Management Analyst is responsible for loading Managed Care contracts into the system and performing detailed analysis of pricing accuracy. They also provide feedback on contract terms and revenue leakage while ensuring compliance with HIPAA and information security standards.
The RPA Automation Engineer will design, build, and maintain automated solutions using UiPath to streamline business processes. They will collaborate with stakeholders to identify automation opportunities while ensuring compliance with security and HIPAA standards.
The Physician Advisor performs clinical case reviews to ensure compliance, medical necessity, and efficient resource utilization. They collaborate with medical staff and case management to optimize patient care, documentation, and length of stay.
The Collections Representative is responsible for contacting debtors to arrange payments and manage delinquent accounts while adhering to FDCPA and HIPAA guidelines. They will also coordinate with the legal department for skip tracing and asset location tasks.
The SQL Database Developer will design, develop, and maintain database objects while creating SSIS projects for ETL and data transmission. They will also provide operational support, resolve technical issues, and ensure data utilization complies with HIPAA standards.
The Power BI Analyst will design and develop reports and dashboards to monitor revenue cycle performance and provide actionable business insights. They will collaborate with stakeholders to clean and transform data while ensuring compliance with HIPAA standards.
The Automation Engineer will design, build, and maintain robotic process automation solutions to streamline business workflows. They will collaborate with IT and business teams to ensure technical standards, security compliance, and effective project delivery.
The Regional Vice President of Business Development is responsible for generating revenue by identifying market potential, qualifying accounts, and closing sales. They also manage the sales pipeline, oversee implementation hand-offs, and contribute to market strategy by monitoring competitive products.
The consultant will implement revenue cycle technology, design workflow processes, and collaborate with development teams to configure software solutions. They are also responsible for leading user acceptance testing and ensuring client processes are accurately translated into technical requirements.
Lead enterprise cash and credit management functions, including payment posting, reconciliation, unapplied cash, credit resolution, refunds, and payer recoupments, ensuring accurate, compliant, and timely operations. Develop teams and operational standards, monitor performance, resolve escalations, and drive process improvements, automation, and executive reporting.
The Patient Account Representative manages collections, account follow-ups, and billing allowance posting for assigned accounts. They are responsible for resolving outstanding claims, identifying payment delays, and ensuring compliance with HIPAA and insurance regulations.
The Vice President leads client-facing coding and Clinical Documentation Integrity transformation initiatives to enhance operational effectiveness and financial outcomes. This role acts as a strategic advisor to executive teams, overseeing workflow redesign, technology integration, and performance improvement frameworks.
The Senior Data Engineer designs, builds, and maintains scalable data pipelines and architectures to support AI-driven workflows. They are responsible for ensuring data reliability, HIPAA compliance, and optimizing ETL/ELT processes using AWS and modern data tools.
The Director will lead revenue cycle transformation initiatives to optimize financial outcomes and operational efficiency for clients. They are responsible for managing project plans, developing KPIs, and ensuring compliance with revenue integrity standards.
The Senior Vice President of Transformation Services leads the end-to-end revenue cycle strategy to improve financial performance and operational efficiency for clients. This role integrates cross-functional workstreams and serves as a senior advisor to client executives to ensure measurable, sustainable results.
The Vice President of Transformation Services leads revenue cycle initiatives to optimize operational efficiency and financial performance for clients. They act as a subject matter expert, monitoring analytics to identify trends and implementing corrective actions while ensuring compliance with healthcare regulations.
The Director will lead and drive patient financial service transformation initiatives to optimize end-to-end revenue cycle operations and financial performance. They will also develop KPIs, monitor analytics to address denials, and collaborate with clients to implement sustainable operational improvements.
The Director will lead and implement patient access revenue cycle transformation initiatives to optimize operational efficiency and financial outcomes. They are responsible for developing KPIs, managing project plans, and providing subject matter expertise to ensure sustainable performance improvements.
The Vice President of Transformation Services leads enterprise-wide strategies to prevent avoidable denials and optimize revenue cycle performance across health system clients. This role utilizes data analytics and operational assessments to shift organizational focus from reactive recovery to proactive, upstream denial prevention.
The Vice President of Accounts Receivable Optimization leads enterprise-wide transformation initiatives to accelerate cash flow and improve revenue yield for health system clients. They partner with leadership to develop data-driven strategies, optimize workflows, and implement sustainable operational changes across the revenue cycle.
The Vice President will lead the strategy and execution for optimizing Epic EHR platforms to improve operational, clinical, and financial performance. They will manage cross-functional teams and partner with client executives to drive measurable outcomes through system enhancements and workflow automation.
The Inpatient Trainer is responsible for developing and delivering medical coding education, including curriculum design and assessment creation for new and tenured staff. They also monitor coding accuracy, provide feedback to the QA team, and ensure compliance with all coding guidelines and HIPAA regulations.
The trainer is responsible for developing and conducting medical coding education programs for new and existing staff. They also monitor coding accuracy, manage training assessments, and collaborate with workgroups to resolve billing and coding issues.
The Clinical Documentation Integrity Specialist performs concurrent chart reviews to ensure the accuracy, completeness, and consistency of inpatient clinical documentation. They collaborate with healthcare providers to clarify documentation gaps and support compliant coding and reimbursement practices.
The Senior Application Developer designs, develops, and maintains high-quality software solutions using the .NET framework. Responsibilities include creating applications from scratch, refactoring code, and providing technical support while ensuring HIPAA compliance.
The Senior Software Engineer will design, develop, and maintain full-stack features for production applications while ensuring scalability and security. They will also manage cloud infrastructure, perform testing, and collaborate with product teams to resolve issues and implement new requirements.
The Senior Software Engineer will design, develop, and maintain full-stack features for production applications while ensuring scalability and security. They will also collaborate with product and engineering teams to resolve issues, perform testing, and monitor application performance post-deployment.
