
Meduit | Driving Revenue Cycle Performance
Remote Jobs
39 Jobs
• Partner with stakeholders to define vision, strategy, and roadmap for automated workflows • Prioritize development work by balancing customer needs, technical considerations, and business goals • Work across operations, development, and business intelligence teams to support successful delivery • Communicate workflow updates, plans, and features to internal teams and stakeholders • Support the launch and adoption of new workflow solutions • Gather user feedback on AI automation and translate insights into ongoing improvements
• Reduce outstanding accounts receivable by managing claims inventory • Speak to patients and insurance companies in a professional manner regarding their outstanding balances • Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services • Request, input, verify, and modify patient’s demographic, primary care provider, and payor information • Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc. • Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures • Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc. • Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies • Work with Claims and Collections in order to assist patients and their families with billing and payment activities
• Support our healthcare partners & help them thrive at Meduit! • Process, monitor, and collection of Medicare, Medicaid, TRICARE, VHA, and other government insurance claims in accordance with payor requirements • Verify accuracy of billing data and revise any errors • Import/post payments from all Government payors • Timely resolution of all claims including appeals • Follow up on accounts for billing and on overdue accounts for collections via phone calls, re-submissions and adjustments for billing errors • Work with personal information and maintain patient confidentiality • Reduce outstanding accounts receivable by managing claims inventory • Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc. • Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc. • Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and clients
• Support the Client Services team to ensure that The Company is meeting deadlines and deliverables • Coordinate, validate, and deliver consumer specific request • Accurately process all internal correspondence, account update and placement files in a timely fashion • Assist with the development of tools that contribute to the efficiency and productivity of the entire Support Service team • Provide summary communications to the Manager of Client Services • Mail & Correspondence review • Analyzing accounts to resolve balance discrepancies • Posting payments and adjustments • Processing itemized bills from clients • Verify insurance eligibility • Inspect bankruptcy notifications • Reviewing itemized statements from client • Reviewing settlement offers for accuracies • Consumer dispute resolution
• Read and analyze patient records • Accurately and efficiently code for a variety of services including but not limited to, evaluation and management, laboratory, imaging, injections and infusions, and specialty surgical procedures in the clinic and hospital outpatient settings • Monitor, research, and correct claim denials within health plan requirements and document any trends with which to follow-up • Submits clean claims for payment • Complies with Federal and State standards utilizing CCI edits, Medicare bulletins, ACR bulletins, etc. to keep abreast of the changes within the industry • Maintains knowledge of and complies with coding guidelines • Find documentation in multiple EMR systems such as EPIC, ECW, Cerner, Meditech • Interacts with clients to ensure accuracy • Maintain patient confidentiality and information security • Maintain an error rate of 5% or less • Must meet production goals assigned by supervisor
• Lead enterprise initiatives end-to-end (scope, schedule, risks, dependencies, outcomes). • Translate priorities into plans with owners, milestones, and success measures. • Prioritize portfolio work; manage trade-offs and dependencies with leaders. • Standardize execution tools, processes, and reporting. • Lead requirements; define deliverables, metrics, and acceptance criteria. • Turn data into insights; report on health, risks, and outcomes; track KPIs/ROI. • Drive operational improvements using Lean/Kaizen/Agile/Waterfall. • Align stakeholders; manage scope, conflicts, and communications. • Lead change management and adoption (escalation, change tracking).
• Support customer experience and operational initiatives across sales, implementation, and customer success activities • Contribute to RFP responses, sales materials, customer-facing reports, and presentation decks • Apply comprehensive knowledge of billing, DNFB, insurance collections, and payer regulations to support sales, implementation, and ongoing client engagement • Review and validate end-to-end revenue cycle workflows to ensure scope alignment with pricing, contracts, and implementation plans • Provide guidance on operational requirements, workflows, and best practices to internal and external stakeholders • Collaborate with Sales, Customer Experience, Operations, and Technology teams to support efficient and successful implementations • Oversee and support the customer experience from prospect through go-live, ensuring appropriate processes, communication, and documentation • Analyze complex operational challenges and develop practical solutions in environments with limited standardization • Assist with additional projects and initiatives as assigned
• Analyze technical requirements and follow established software designs for development, debugging, documentation, and testing • Modify, develop, and implement software programming applications • Support and maintain existing software applications • Participate in the testing process to ensure software quality and performance • Perform maintenance, feature development, quality assurance, documentation, and infrastructure or performance-related work across the application stack • Participate in the establishment and enforcement of development best practices and technical standards • Complete additional requests, projects, and tasks as assigned
• Support end-to-end software implementation projects from requirements gathering through go-live and post-implementation stabilization • Analyze client workflows and business requirements to configure solutions that align with product capabilities and operational needs • Translate software features and functional requirements into client-specific configurations and implementation artifacts • Validate configuration accuracy through data analysis, testing, and quality reviews • Use SQL to support data analysis, validation, troubleshooting, and reporting during implementations • Investigate and resolve implementation-related issues by analyzing system behavior, data outputs, and workflows • Support user acceptance testing, defect triage, and implementation readiness activities • Contribute to documentation, lessons learned, and process improvement recommendations • Support execution of departmental plans, goals, and objectives while managing work across multiple implementation projects
• Design, implement, and maintain CI/CD pipelines that pull source code from GitHub, build Java applications, and package deployment artifacts • Automate deployments across multiple environments, including Development, QA, UAT, Pilot, and Production • Integrate automated smoke tests and validation checks into deployment pipelines • Establish artifact versioning, tagging, and promotion strategies to support controlled releases and rollbacks • Support application deployments across AWS and Azure virtual machine environments • Assist with the transition of applications toward containerized deployments using Kubernetes • Maintain environment consistency across platforms and deployment stages • Own and enforce source control branching, merging, tagging, and release conventions • Maintain build, deployment, and release documentation, including runbooks and standard operating procedures • Coordinate software releases with Development, QA, and Application Support teams • Assist with troubleshooting build, deployment, and environment-related issues • Participate in incident response related to deployment or configuration failures • Perform other duties as assigned
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