The Solutions Architect will design and validate secure, scalable technology solutions that align with healthcare regulations and business objectives. They will lead the implementation of AI-enabled systems, data integrations, and cloud-native architectures while mentoring engineering teams.
The Revenue Cycle System Administrator oversees and monitors the development of revenue cycle systems to ensure effective support for franchise partners. Responsibilities include managing help desk tickets, maintaining functionality in CareTend and Waystar, and overseeing payer enrollments.
The Billing Specialist is responsible for accurately creating and submitting medical and pharmacy claims while resolving rejections to minimize bad debt. They also document case activity in CareTend and contribute to the development of training materials to improve RCM team efficiency.
The Collections Specialist is responsible for managing home infusion claims, identifying denial trends, and performing corrective actions to ensure timely revenue collection. They also communicate financial obligations to patients and maintain accurate documentation of all account activities.
The Collections Specialist is responsible for managing home infusion claims, identifying denial trends, and performing follow-ups with insurers and patients to ensure timely revenue collection. They must document all case activity accurately and communicate financial obligations clearly to patients while maintaining compliance with payer requirements.
The Collections Specialist is responsible for managing home infusion claims, identifying and resolving denials, and ensuring timely revenue collection. They will also communicate financial obligations to patients and maintain accurate documentation of all account activities.
Process home infusion medical claims accurately and timely to reduce denial rates and bad debt. Maintain documentation in CareTend and contribute to the development of training materials and billing procedures.
The specialist will manage patient accounts receivable by researching balances, verifying benefits, and processing payments. They are responsible for communicating clearly with patients and franchisees while identifying and escalating problem accounts to leadership.
Manage reimbursement activities for multiple infusion and specialty pharmacy business units, including referral intake, billing, and collections. Lead and mentor a team of up to 60 staff members while ensuring regulatory compliance and meeting financial performance metrics.
Process patient referrals by verifying benefits, obtaining prior authorizations, and ensuring accurate billing to reduce denial rates. Maintain detailed documentation of case activity and communicate effectively with franchise partners and payers to resolve outstanding claims.
The Revenue Cycle Manager oversees reimbursement activities including referral intake, authorizations, billing, and collections for multiple pharmacy business units. They are responsible for managing large teams, ensuring regulatory compliance, and meeting financial KPIs through effective coaching and process optimization.
Develop and implement strategic initiatives for Revenue Cycle Management with a focus on automation, systems, and operational efficiency. Monitor key performance indicators and ensure regulatory compliance across all revenue cycle policies and procedures.
Process medical claims for home infusion services while ensuring accuracy and timeliness to reduce denial rates. Maintain detailed documentation of case activity and communications within the CareTend system.
The Solutions Architect will design and implement secure, scalable technology solutions that align with healthcare regulations and business objectives. They will lead the integration of AI, automation, and cloud-native architectures while collaborating with clinical and engineering teams to ensure operational excellence.
The Regional Business Coach provides strategic leadership and operational oversight to franchise locations to ensure high-quality patient care and financial performance. This includes driving brand integrity, managing strategic initiatives, and serving as the primary point of contact for franchise owners regarding standard operating procedures.
Provide strategic leadership and business coaching to franchise locations to optimize financial performance and ensure high-quality patient care. Lead strategic initiatives, manage operational compliance, and serve as the primary point of contact for franchise owners regarding standard operating procedures.
Collect Home Infusion claims by reviewing outstanding balances and following up with insurers and patients to reduce denial rates and bad debt. Analyze denial trends to recommend process improvements and manage the appeals process for denied claims.
Process Home Infusion medical and pharmacy claims accurately to reduce denial rates and bad debt. Manage the revenue cycle by resolving rejected claims and documenting all account activity in CareTend.
The Intake Specialist processes referrals and manages medical billing to ensure accuracy and reduce denial rates. They also verify benefits, obtain prior authorizations, and maintain clear communication with patients regarding financial obligations.
