Generate, review, and transmit claims for hospital-based services to third-party payors.
Collaborate across Revenue Cycle departments to resolve billing edits and other up-front issues efficiently.
Report to the Manager of Hospital Billing and support daily billing operations.
Piedmont Healthcare is a healthcare organization providing hospital-based services in Georgia. The company operates a corporate revenue cycle team focused on billing and claims management.
Acclimate to client implementations to facilitate updates, additions, and fixes.
Partner with internal teams to navigate client tickets and enhancement requests with minimal delay.
Evaluate customer use of healthcare revenue cycle products to recommend best practices and solutions.
Experian is a global data and technology company that powers opportunities for people and businesses across multiple markets including financial services, healthcare, and automotive. With a team of 25,200 employees in 32 countries, Experian fosters a people-first, inclusive culture that has been recognized as one of the World's Best Workplaces.
Reviews complex hospital service accounts to ensure completeness prior to patient arrival.
Verifies patient insurance, confirms benefits, and determines authorization requirements.
Initiates pre-certification and creates patient liability estimates.
Piedmont Healthcare is a healthcare system providing comprehensive medical services across Georgia. It is a large organization focused on patient-centered care and community health.
Serve as a Revenue Integrity resource for assigned clinical service lines and partner with various stakeholders to improve revenue capture.
Perform end-to-end assessments of workflows to identify opportunities for improvement and implement corrective actions.
Analyze data to identify trends, charging variances, and revenue optimization opportunities while maintaining knowledge of regulations and best practices.
The Wilshire Group is a healthcare consulting organization focused on helping clients improve revenue cycle performance through experienced professionals, practical solutions, and collaborative partnership. They are an equal opportunity employer that values a collaborative, professional, and inclusive work environment.
Manage patient intake processes by scheduling, rescheduling, and canceling appointments.
Verify and update patient demographics, insurance eligibility, and collect payments.
Process referrals and authorizations while responding to patient inquiries with professional communication.
A comprehensive healthcare network serving the Puget Sound region with a full spectrum of health care services, from routine wellness to complex disease management. It includes 10 hospitals and nearly 300 care sites, fostering a culture of compassionate care and shared purpose.
Design, implement, maintain, and support assigned Epic software applications to meet clinical needs.
Collaborate with operational teams across ProMedica and mentor less experienced IT EMR staff.
Plan system implementations and upgrades, ensuring thorough testing, quality assurance, and documentation.
ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio, serving communities across nine states with acute and ambulatory care, a dental plan, and academic business lines. It employs over 1,300 health care providers through ProMedica Physicians and more than 2,300 physicians and advanced practice providers, with a culture focused on improving health and well-being.
Design, develop, and implement high-complexity Epic integration solutions for clinical and revenue cycle workflows.
Lead and mentor associate engineers, coordinate code reviews, and manage cross-functional application development projects.
Troubleshoot complex software issues, support on-call rotations, and ensure EAI deliverables meet business requirements.
CommonSpirit Health is a nonprofit Catholic healthcare system delivering integrated health services across 24 states. It has over 157,000 employees and 2,300 care sites, providing more than 20 million patient encounters annually with a focus on equitable innovative care.
Lead end-to-end Enterprise Epic implementations across Revenue Cycle applications, overseeing design, build, testing, training, go-live, and stabilization.
Partner with hospital leadership and clinical stakeholders to align workflows and ensure successful adoption of best-practice processes.
Supervise and mentor analyst teams, driving milestone execution, risk mitigation, and smooth transition to production support.
Prime Healthcare is an award-winning health system headquartered in Ontario, California, operating 55 hospitals and over 360 outpatient locations across 15 states. They are one of the nation’s leading health systems with over 60,000 employees and physicians, dedicated to delivering high-quality care.
Conduct thorough medical record reviews for assigned patient population to ensure accurate DRG assignment and severity of illness documentation.
Author and manage compliant provider queries to resolve documentation gaps while adhering to AHIMA and ACDIS guidelines.
Educate multi-disciplinary care teams on documentation best practices and collaborate with HIM coding professionals to streamline workflows.
CommonSpirit Health is a large nonprofit Catholic healthcare organization that provides integrated health services. It has over 157,000 employees and delivers more than 20 million patient encounters annually, striving to create a more just and equitable healthcare system.
Serve as the initial point of contact for patients, handling scheduling and phone inquiries.
Use EPIC system to schedule, reschedule, and cancel appointments efficiently.
Provide exceptional customer service, resolving patient complaints and ensuring positive experiences.
CommUnityCare Health Centers provides patient-centered care to communities, focusing on coordination and access. They emphasize diversity, collaboration, and a supportive work culture for staff.
Maximize client satisfaction by analyzing data and implementing improvement plans.
Develop strategies for client retention, engagement, and expansion.
Build relationships with client partners to identify upselling opportunities.
Experian is a global data and technology company powering opportunities for people and businesses worldwide. They have 25,200 employees across 32 countries and foster a people-first, inclusive culture.
Review and verify assigned medical codes for accuracy.
Enter demographic and insurance information into the billing system.
Respond to inquiries and assist with audits to ensure accurate billing.
Virtual Firm LLC provides medical data entry, coding, and billing services for healthcare providers. The company operates as a virtual firm, offering remote work opportunities and an entry-level friendly environment.
Lead Epic Prelude, Cadence, and Referrals implementations and enhancements for patient access.
Manage project plans, milestones, risks, and stakeholder coordination across IT, clinical, and operational teams.
Support go-live readiness, command center activities, and post-implementation stabilization.
The Wilshire Group is a boutique healthcare consulting firm specializing in revenue cycle optimization and operational-IT collaboration. With over 100 healthcare systems served, the team is professional, efficient, and adaptable, valuing inclusivity and diverse narratives.
Triage all Tier 2 clinical calls from the IS Service Center, addressing immediate customer needs to ensure quality clinical care.
Utilize knowledge of Epic and care workflows to identify and resolve application issues, providing just-in-time training as needed.
Document issues and troubleshooting steps in the ticketing system, escalating complex problems to appropriate support personnel.
Piedmont Healthcare is a healthcare system dedicated to providing quality clinical care. It is a large organization with a supportive culture that emphasizes employee wellness and professional growth.
Review provider documentation in Epic to assign accurate CPT, ICD-10-CM, and HCPCS codes.
Ensure compliance with federal, state, and payer guidelines while meeting 95% accuracy and productivity standards.
Serve as a resource for coding and billing issues, supporting timely charge capture and claim submission.
Oregon Health & Science University is a public academic health center dedicated to patient care, research, and education. As Portland's largest employer, it offers opportunities across hospitals and clinics with a strong commitment to diversity and inclusion.
Train new graduate coders on facility ancillary, ER, ambulatory surgery, and inpatient accounts.
Audit coded accounts and evaluate trainees' productivity and quality.
Develop and deliver coding curriculum for in-person and virtual settings.
Saint Francis Health System is a Catholic, not-for-profit health system in Tulsa, Oklahoma. It is the largest private employer in Eastern Oklahoma with over 12,000 employees, including 1,000 physicians.
Manage MIPS clients and provide remote consultations on best practices.
Train internal teams and external clients on Nextech software.
Collaborate with product management to improve software and maintain customer retention.
Nextech is a leader in specialty healthcare technology solutions. The company is committed to investing in employees through competitive pay, comprehensive benefits, and a focus on diversity.
Serve as the first point of contact, greeting patients and handling inbound calls.
Verify insurance, update demographics, and register patients in EMR (EPIC).
Document patient concerns, triage messages, and escalate emergent issues promptly.
U.S. Urology Partners provides urology and specialty services, including surgery and cancer treatment. It has over 50 offices across the East Coast and Midwest, with values of compassion, collaboration, respect, and accountability.
Manage full-cycle recruitment with an emphasis on clinical and hard-to-fill roles.
Partner closely with hiring managers and leaders to align on hiring needs, timelines, and strategies.
Build strong candidate pipelines through direct sourcing and ensure a positive, engaging candidate experience.
Upstream Rehabilitation is the largest US provider of outpatient physical and occupational therapy services. With 1,200+ locations and 8,000+ employees, it fosters an inclusive, purpose-driven culture.
Own full-cycle recruitment including sourcing, screening, scheduling, and offer negotiation.
Partner with hiring managers to build diverse talent pipelines and improve hiring processes.
Leverage metrics and ATS tools to optimize recruitment operations and candidate experience.
Workit Health is an industry-leading telemedicine provider delivering evidence-based addiction treatment and recovery care. The company is growing its dedicated, mission-driven team to expand access to judgment-free care for substance use disorder.