Lead clinical strategy for WellSky’s solutions by bringing clinical, caregiver, administrative, and operational perspectives into solution design, roadmaps, and client adoption. Develop scalable rollout and change-management practices, mitigate transition risks, and support strategic sales opportunities with clinical and operational expertise.
The Program Coordinator manages authorization requests by coordinating between hospital clients, payers, and clinical reviewers to ensure timely processing. They are also responsible for maintaining accurate records, providing front-line support, and supporting process improvement initiatives.
Lead the design and implementation of large-scale, complex software systems while fostering a culture of continuous improvement and technical excellence. Collaborate with cross-functional teams to define requirements and drive the adoption of best practices, including AI-enhanced workflows and CI/CD processes.
The Clinical Consultant II leads the implementation of WellSky solutions by bridging the gap between clinical workflows and software functionality. They are responsible for gathering requirements, training clients, and ensuring regulatory compliance within blood management settings.
The Reimbursement Coordinator manages the end-to-end reimbursement process, including claims submission, payment posting, and follow-up activities for home infusion services. They are responsible for resolving claim denials, addressing discrepancies, and performing collection actions to ensure accurate and timely payments.
The Reimbursement Coordinator manages the end-to-end billing process, including claims generation, submission, and QA of charges for home health services. They are also responsible for resolving claim denials, performing collection follow-ups, and maintaining accurate payment records.
The Medical Coder is responsible for accurately assigning ICD-10-CM and OASIS codes supported by clinical documentation. They must ensure compliance with coding regulations and internal policies to facilitate accurate billing for client agencies.
Serve as a trusted partner for clients by providing medical coding training and addressing related issues. Collaborate with internal teams to optimize the coding experience and conduct clinical record audits for compliance.
Perform medical coding quality audits to ensure compliance with regulatory standards and contractual requirements. Provide feedback and guidance to coding teams to improve performance across all service lines.
The Sleep Coach conducts outbound calls to patients for CPAP supply reorders and promotes CPAP equipment sales. They ensure patient compliance and satisfaction through effective outreach and relationship building.
