The Director of Health and VA is responsible for leading claims operations, ensuring the successful identification, management, and recovery of high-value healthcare claims. This role provides strategic leadership across multiple teams to drive operational excellence, financial performance, and client satisfaction.
The Auto Claims Specialist makes high-volume outbound calls to investigate, bill, and maximize payments on medical claims for hospital clients. Responsibilities include researching accident details, submitting documentation to insurance companies, and managing denial reports.
The Event Setup Specialist evaluates incoming medical data and insurance leads to update patient records in the AcciClaim system. They determine necessary next steps based on contractual requirements and ensure all data is processed accurately and confidentially.
The VP of Product is responsible for defining and executing the company's product vision and strategy across all solution lines to drive business value. This role involves leading a high-performing product management team and fostering cross-functional collaboration to ensure successful product delivery and innovation.
The Senior Director will establish enterprise data standards, build a data catalog, and define a business ontology to ensure consistent data definitions across the organization. This hands-on role involves architecting data models within Snowflake and driving cross-functional alignment on data governance and reporting standards.
The Information Request Specialist updates patient accounts with information received from hospitals and acts as a liaison between claims representatives and providers. They are responsible for monitoring requests to ensure timely resolution and assisting IT with access issues.
Manage strategic and complex client relationships while overseeing performance and recovery strategies for at-risk engagements. Serve as the executive relationship owner and mentor internal teams to ensure long-term client retention and service expansion.
The role involves making high-volume outbound calls to investigate, bill, and resolve workers' compensation claims on behalf of medical providers. Responsibilities include submitting proper documentation to payers and ensuring maximized payments for clients.
The VP of Client Engagement is responsible for retaining existing revenue, identifying expansion opportunities, and negotiating new lines of business within assigned hospital accounts. They act as a trusted advisor to clients while serving as the voice of the client to internal cross-functional teams.
Manage accident-related accounts from intake to resolution while coordinating no-fault and liability benefits. Submit claims to carriers, maintain accurate records, and communicate professionally with patients, adjusters, and attorneys.
The Information Security Analyst is responsible for maintaining the security and integrity of organizational data by analyzing current measures and implementing risk mitigation strategies. They will also lead security projects, perform audits, and investigate potential cyber security incidents.
The EPIC Architect will extract and operationalize data from client Epic systems to support revenue cycle workflows including denials and complex claims. They are responsible for designing scalable retrieval processes and partnering with internal teams to translate business needs into technical Epic solutions.
The Director will lead the development and launch of the DRGV service offering, defining operational models, staffing requirements, and performance metrics. They will partner with cross-functional teams to integrate AI and technology solutions while providing subject matter expertise to support sales and client engagement.
