The Lead LIS Analyst will instruct and direct the work of other analysts while formulating system scope and objectives based on business needs. They are responsible for designing application configurations, documenting requirements, and leading projects with moderate budgets.
The Referral Specialist manages internal and external patient referrals, ensuring expeditious conversion to scheduled visits and financial clearance. They also provide support for branded vanity lines and MyChart inquiries while maintaining exceptional patient service.
Collect and verify patient demographic, guarantor, insurance, and financial information; coordinate benefits verification, referrals, authorizations, and precertifications to support timely reimbursement. Help patients navigate financial assistance and insurance coverage options, resolve account issues, collect payments, and meet departmental productivity and quality standards.
The Lead Epic Hospital Billing Analyst will instruct, prioritize, and quality check the work of other business systems analysts while formulating system scope and objectives. They are responsible for designing application configurations, documenting requirements, and leading projects with moderate budgets.
The Information Security Engineer will design, implement, and manage Microsoft Purview capabilities to ensure data protection, compliance, and information governance across the Microsoft 365 environment. This role collaborates with cross-functional teams to translate regulatory and business requirements into scalable technical controls.
The Inpatient Coder is responsible for coding and abstracting diagnoses and procedures from medical records to ensure accurate reimbursement and quality reporting. They also interact with providers to clarify documentation and ensure the appropriate assignment of codes.
The Registration & Insurance Specialist conducts detailed reviews of patient insurance information to verify coverage, network status, and billing accuracy. The role involves coordinating with clinical teams and payers to manage out-of-network exceptions and ensure timely resolution of patient accounts.
The Registrar is responsible for collecting, coding, and reporting trauma patient data to maintain the trauma registry database. They also participate in data quality activities, including peer audits and subcommittee meetings, to ensure clinical accuracy.
The auditor reviews and ensures the accuracy and quality of coding assignments for records requiring APC coding to support optimal reimbursement. They also collaborate with billing teams to identify discrepancies and provide education to medical staff regarding coding guidelines.
The auditor is responsible for reviewing and ensuring the accuracy and quality of coding assignments for records requiring Ambulatory Payment Classification (APC) coding. They collaborate with coding and billing teams to identify discrepancies, recommend corrections, and maintain high coding integrity.
The Registration & Insurance Specialist conducts detailed reviews of patient insurance information to determine network status and verify active coverage. They also collaborate with managed care teams to secure single case agreements and manage billing activities to ensure accurate patient financial records.
The Quality Intelligence Specialist ensures the effective use of clinical data and documentation tools to support high-quality patient care and regulatory reporting. They collaborate with clinical and IS teams to identify performance opportunities and ensure the validity of data used for quality initiatives.
The Revenue Cycle Financial Specialist is responsible for verifying insurance, obtaining authorizations, and managing patient financial accounts to ensure accurate billing. They also assist patients with financial assistance applications and provide counseling regarding payment options and patient rights.
The Clinical Documentation Nurse supports quality improvement by abstracting and analyzing medical records and hospital billing codes. They also educate clinical teams on documentation needs to ensure accurate reporting and evidence-based care.
The Senior Surgical Clinical Reviewer ensures reliable data collection and submission to the ACS NSQIP database for adult and pediatric programs. They also facilitate clinical quality improvement initiatives, analyze outcomes, and provide educational resources to surgical teams.
The PFS Representative is responsible for the collection and final resolution of insurance claims while maintaining accurate records in accordance with hospital procedures. This role involves processing claims, managing denials, and communicating with third parties to ensure timely payments.
The Clinical Pharmacist Specialist will lead the development and optimization of the claim denials program and perform drug reimbursement analyses. They will also provide support for appeal letters and present data findings to pharmacy, finance, and managed care leadership.
Develop and maintain SOAR playbooks to automate security tasks and streamline incident response workflows. Investigate security threats, analyze logs and network captures, and enhance SOC operational efficiency using AI-driven workflows.
