The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity standards.
The Outpatient Coder is responsible for coding and abstracting diagnoses from medical records to ensure accurate billing and quality reporting. They also communicate with providers to clarify documentation and resolve claim edits to maintain compliance.
The Inpatient Coder is responsible for reviewing medical records and assigning accurate diagnostic and procedural codes to ensure proper reimbursement and compliance. They must also resolve documentation discrepancies through provider queries and perform quality assessments of medical records.
The Manager, Accounts Receivable oversees hospital A/R operations, including billing, collections, and reimbursement processes to optimize revenue cycle performance. They lead a team of specialists, monitor performance metrics, and implement strategies to reduce denials and improve cash flow.
The Medicare Specialist manages the billing and collection processes for Medicare patients while ensuring compliance with all relevant regulations. They are responsible for processing claims, resolving billing discrepancies, and communicating with patients regarding their accounts.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity and quality standards.
Manage provider enrollment, recredentialing, revalidation, and payer readiness for individual providers and healthcare facilities across commercial and government payers. Maintain accurate enrollment records, advise clients on payer setup and billing compliance, resolve enrollment issues, and report on status, deadlines, and audit findings.
Follow up on assigned insurance claims, resolve payment obstacles, collect outstanding balances, and write appeals for denied claims. Document account activity and workflow statuses, analyze correspondence and trends, and escalate unresolved claims or payer issues as appropriate.
Review outpatient and same-day surgery medical records, abstract diagnoses and procedures, and assign accurate ICD-10-CM and CPT codes. Resolve documentation issues through provider queries, assess coding quality, and review charges to support accurate billing and reimbursement.
Coordinate supplier agreements through routing, approval, execution, filing, renewal, amendment, and termination, while maintaining accurate and accessible contract records and repositories. Support supplier onboarding, compliance reviews, audits, stakeholder requests, process improvements, and monitoring of contract obligations, deadlines, and operational metrics.
The coder will apply classification standards to medical records, perform quality assessments, and resolve documentation discrepancies. They will also support management by educating staff and creating executive summaries based on audit findings.
The coder is responsible for accurately assigning CPT, ICD-10-CM, and HCPCS codes to medical diagnoses and procedures across multiple specialties. They also collaborate with billing teams to resolve denials and ensure compliance with regulatory guidelines.
The Director of Revenue Cycle Management provides strategic oversight to improve revenue cycle operations, including accounts receivable, cash acceleration, and net revenue. They lead project teams, manage facility financial performance, and foster strong relationships with hospital leadership and internal stakeholders.
The Senior Director, Finance serves as a strategic financial advisor and fractional CFO, providing leadership on financial performance, budgeting, and long-term sustainability. They oversee accounting operations, financial reporting, and capital planning while partnering with executive leadership to drive organizational strategy.
The Senior Director of Operations serves as a strategic partner to the executive team, translating business priorities into actionable plans across sales, implementation, and client success. They lead complex cross-functional projects and drive accountability to ensure successful client outcomes and operational excellence.
The coder is responsible for assigning ICD-10-CM and CPT/HCPCS codes to medical records to ensure accurate billing and reimbursement. They also communicate with providers to clarify documentation and resolve claim edits to maintain compliance.
The Patient Account Resolutions Team Lead provides leadership, coaching, and support to team members to ensure adherence to call center processes and performance metrics. This role also involves managing escalated calls, monitoring queue status, and driving continuous improvement in billing and recovery operations.
The Emergency Department Coder is responsible for accurately coding and abstracting diagnoses and procedures from medical records to ensure timely reimbursement. They also communicate with providers to clarify documentation and resolve claim edits to maintain compliant billing.
The coder is responsible for applying appropriate classification standards to medical records and assigning accurate ICD-10-CM/PCS codes for diagnoses and procedures. They must also resolve documentation discrepancies through provider queries and perform quality assessments to ensure coding accuracy.
Assigns ICD-10-CM, CPT, and HCPCS codes for various specialty service accounts and abstracts key data for billing and regulatory purposes. Collaborates with providers to clarify documentation and resolves claim edits to ensure compliant billing.
The Director leads the daily operations of healthcare finance and reimbursement, focusing on cost reporting, regulatory compliance, and financial analysis. They provide technical leadership, develop reimbursement strategies, and partner with stakeholders to ensure accurate financial performance and process improvement.
The SDS coder is responsible for reviewing medical records for same-day surgical procedures and assigning accurate diagnostic and procedural codes. They must also perform quality assessments, resolve documentation discrepancies, and ensure compliance with coding guidelines.
The Coding Manager provides strategic and daily operational management for client coding services, ensuring productivity and quality standards are met. This role involves managing on and offshore resources, mentoring staff, and maintaining positive relationships with clients and internal stakeholders.
The Outpatient Coder is responsible for assigning ICD-10-CM codes and abstracting key data elements from medical records to ensure accurate billing and quality reporting. They also communicate with providers to clarify documentation and resolve claim edits to maintain compliant billing practices.
The Emergency Department Coder is responsible for accurately coding and abstracting diagnoses and procedures from medical records to ensure optimal reimbursement and quality reporting. They also communicate with providers to clarify documentation and resolve claim edits to maintain compliant billing.
The coder is responsible for reviewing medical records to determine appropriate billing codes and investigating payer denials to perform necessary charge corrections. They will also draft appeal letters and collaborate with facility liaisons to resolve reimbursement issues.
The Follow Up Specialist is responsible for resolving denied or unpaid insurance claims by researching, contacting carriers, and submitting appeals. They will also identify denial trends and coordinate with other departments to ensure accurate claim processing.
The coder is responsible for assigning ICD-10-CM and CPT/HCPCS codes to medical records to ensure accurate reimbursement and quality reporting. They also communicate with providers to clarify documentation and resolve claim edits to maintain billing compliance.
The Manager, Clinical Value Analysis leads evidence-based evaluations of clinical products to ensure alignment between patient safety, clinical outcomes, and financial goals. This role facilitates Value Analysis Committees and collaborates with cross-functional teams to drive standardization and cost-effective solutions.
The specialist is responsible for following up on outstanding insurance claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity standards.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity and quality standards.
The Billing Specialist manages daily billing operations, ensuring accurate claim submissions and resolving claim edits in compliance with insurance policies. They also reconcile patient accounts, address outstanding balances, and collaborate with internal departments to improve organizational cash flow.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity standards.
The specialist is responsible for following up on outstanding insurance claims to resolve obstacles and accelerate cash collections. They also manage appeals for denials and document account activity within the company's workflow tools.
The Patient Account Resolution Specialist serves as the primary point of contact for patients, managing inbound and outbound calls to resolve account balances and billing inquiries. They are responsible for maintaining accurate records, meeting collection goals, and ensuring high-quality customer service through effective problem-solving.
The Coding Supervisor coordinates daily coding operations, monitors team productivity and accuracy, and ensures compliance with regulatory standards. They also perform direct coding for various specialties and provide mentorship and training to coding staff.
The Revenue Cycle Consultant will manage projects to enhance revenue and drive cost reductions while leading workflow redesign and process improvement initiatives. They will also analyze operational trends and implement data-driven solutions to optimize revenue cycle performance.
The Billing Specialist is responsible for managing charging, billing, collections, and cash management functions for rural and facility-based healthcare settings. This role involves resolving claim errors, performing follow-ups on unpaid claims, and mentoring staff on complex billing scenarios.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activities, write appeals for denials, and maintain productivity and quality standards.
Provide strategic and operational financial leadership across multiple client hospitals to drive performance and operational efficiency. Partner with hospital executives to manage budgeting, forecasting, and revenue cycle performance within a shared services model.
Review medical records to determine appropriate billing codes and manage the appeal process for denied claims. Collaborate with facility liaisons and clinical staff to resolve coding issues and ensure accurate reimbursement.
The Coding Manager provides strategic and operational management for assigned clients, overseeing both on-shore and off-shore coding resources. Key duties include monitoring productivity and quality standards, managing SLAs, and implementing process improvements to enhance efficiency.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity and quality standards.
