The representative is responsible for managing payor denials and coordinating the appeals process to ensure timely payment for the organization. They will also maintain tracking tools, analyze metrics, and prepare reports to support the Revenue Integrity team.
The Credentialing Specialist coordinates and manages the credentialing and privileging process for physicians and advanced practice professionals. They ensure compliance with regulatory standards and maintain accurate provider data within the credentialing database.
The Revenue Integrity Manager oversees charge capture activities, ensures accurate billing processes, and maintains the Charge Description Master (CDM) across the organization. They also lead the analyst team, perform audits, and provide data-driven recommendations to improve revenue cycle performance.
The Senior Professional Coder performs advanced medical coding for complex surgical procedures and provides expert guidance to clinical staff and the revenue cycle team. They are responsible for ensuring coding accuracy, maintaining compliance with regulations, and mentoring junior coding staff.
The Physician Liaison plans and implements outreach efforts to build referral bases and maintain relationships within the physician community. They analyze market data and referral trends to identify growth opportunities and collaborate with internal teams to ensure effective marketing and communication.
The Clinical Research Coordinator oversees system-wide clinical research activities for the Retrospective Core, ensuring compliance with regulatory requirements and institutional policies. They are responsible for managing study data, coordinating with investigators, and facilitating the implementation of approved research protocols.
The analyst will design, build, test, and support information technology solutions to meet clinical and operational needs. They are responsible for documenting requirements and performing cost-benefit analyses to optimize business and clinical information systems.
The Patient Access Representative serves as the primary point of contact for patients and families, managing scheduling and service inquiries. They are responsible for accurate data entry, financial clearance processes, and coordinating care while identifying opportunities for workflow improvements.
The Epic Application Analyst manages the Epic security program, including user provisioning, role-based access, and security class maintenance. They also perform security audits, troubleshoot complex access issues, and collaborate with operational leaders to improve security processes.
The Senior Systems Analyst is responsible for the configuration, support, and optimization of the Workday platform across HCM, Financials, Payroll, and Supply Chain modules. This role involves designing and managing complex integrations, business processes, security administration, and reporting to ensure operational efficiency.
The Senior Professional Coder performs advanced medical coding for complex surgical procedures across various hospital and clinic locations. They also provide coding guidance to clinical staff, mentor junior coders, and ensure compliance with federal and state regulations.
The Workday Systems Analyst will manage configuration, maintenance, and support for Workday HCM modules including Benefits, Absence, and Compensation. They will also provide production support for Workday Financials or Supply Chain Management while ensuring system design aligns with organizational policies.
The analyst will design, build, test, and support information technology solutions to meet clinical and operational needs. They are responsible for documenting requirements, performing cost-benefit analyses, and leading project enhancements.
The Denials Management Appeals Nurse manages medical denials by conducting comprehensive clinical documentation reviews and writing compelling arguments for appeals. They are responsible for maintaining knowledge of payor criteria and ensuring compliant appeal filings in accordance with contractual requirements.
The Workday Systems Analyst will administer and configure Workday HCM, Benefits, and Compensation modules for international entities. They will also provide support to local HR teams, ensuring compliance with regional labor standards and data integrity.
The Denials Management Analyst is responsible for analyzing denials data, tracking trends, and managing Epic work queues to resolve claims. They also coordinate audit activities and communicate findings to ensure timely responses to payor denials and appeals.
The Corporate Director provides enterprise-wide strategic leadership for care management, utilization management, and ambulatory nursing programs across all locations. This role focuses on standardizing practices, optimizing care coordination, and driving performance improvement through data-driven initiatives.
The Professional Billing Specialist manages professional billing requirements, including denial and appeal follow-up activities. They are responsible for monitoring claim edits, analyzing revenue cycle metrics, and ensuring compliance with regulatory and payer guidelines.
The Anesthesia Auditor is responsible for systematically reviewing anesthesia records to ensure documentation accuracy, completeness, and compliance with regulatory standards. This role also involves collaborating with clinical and billing departments to address documentation gaps and providing targeted education to improve process outcomes.
