The Provider Education Support Specialist reviews provider documentation daily to ensure coding production standards are met. They also provide ongoing feedback to documentation specialists regarding trends and support senior staff with focused documentation needs.
The Supervisor is responsible for overseeing daily contact center operations, including managing team performance and conducting appraisals. They also resolve escalated customer service issues and identify opportunities for continuous process improvement.
The Senior Director of Revenue Integrity leads the identification and resolution of payer variances while setting strategic direction for revenue integrity functions across U.S. and India service delivery teams. This role focuses on operational leadership, process improvement, and fostering interdepartmental collaboration to maximize client cash recovery and ensure compliance.
The Revenue Integrity AR Specialist analyzes payer payment variances across radiology, anesthesia, and emergency medicine business units. This role is responsible for resolving underpayments, submitting appeals, and collaborating with internal departments and payers to ensure contract compliance.
The Supervisor, Credits manages the daily operations of the Refunds department, including supervising staff and ensuring credit balances are resolved within turnaround times. They also track employee metrics, conduct quality audits, and interact with clients to provide reports and project updates.
The Director of Cash Management oversees day-to-day operations including bank reconciliation, payment posting, and unapplied research. They are responsible for implementing strategic initiatives, optimizing workflows, and managing global service delivery center performance.
The Senior Director of Accounts Receivable leads and manages A/R operations, including staff supervision, process optimization, and performance monitoring. They oversee offshore relationships, manage vendor assignments, and ensure departmental metrics are achieved through data-driven analysis.
The Coding Denials Specialist is responsible for investigating and resolving health plan denials by processing claim edits and rejections. They must validate denial reasons, ensure coding accuracy, and generate appeals based on payer guidelines and contract terms.
The Supervisor of Provider Enrollment oversees daily department activities, manages staff performance, and ensures compliance with state and federal healthcare regulations. They are responsible for training team members, conducting audits, and coordinating enrollment processes for licensing, privileging, and professional credentials.
Manage the end-to-end onboarding of healthcare clients into coding and billing services, leading cross-functional teams through 1-3 month projects. Serve as the primary point of contact to ensure accurate system configuration and a smooth transition to service delivery teams.
