Meduit | Driving Revenue Cycle Performance

• Maintain working knowledge of applicable laws and regulations impacting medical debt collection • Translate regulatory requirements into clear, operationally actionable controls • Support regulatory change management, including tracking changes and performing impact assessments • Assist with regulatory exams and audits by ensuring documentation readiness • Support the success of the internal governance lifecycle, including creation, analysis, and coordination • Ensure proper version control, approvals, and periodic review • Maintain the system of record with appropriate metadata, audit trails, and access controls • Conduct risk assessments on high-risk processes across all internal departments and external partners • Maintain tickets, risk registers, and carry out remediation planning to resolve unique events • Lead preventative and corrective actions as well as work groups and projects from design to completion • Execute monitoring and auditing programs for key compliance areas • Document findings and escalate issues when needed • Track audit findings and transition them to appropriate actions, groups, and projects for completion • Prepare reporting on risks, audit findings, and remediation progress • Maintain audit-ready documentation and supporting work products • Regularly present progress and documentation to internal committees and leadership • Partner with internal department leadership to embed compliance controls • Assist in the development, analysis, and monitoring of issued resources to ensure compliance synergy • Participate in industry growth and development programs to ensure accurate compliance guidance

• Manage assigned technology projects through the Software Development Lifecycle (SDLC). • Translate business priorities into project plans with defined owners, milestones, deliverables, and success measures. • Coordinate project dependencies and escalate risks or conflicts when necessary. • Standardize project execution tools, processes, reporting, and documentation practices. • Lead requirements gathering efforts and define deliverables, metrics, and acceptance criteria. • Provide regular project status reporting, including milestones, risks, issues, and mitigation plans. • Support continuous improvement initiatives and project retrospectives. • Align stakeholders, manage project scope, and facilitate effective project communications. • Support change management and stakeholder readiness activities throughout project delivery.

• 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 • Request, input, verify, and modify patient’s demographic, primary care provider, and payor information • Provide excellent customer service and timely response to questions • Utilize various databases and specialized computer software for revenue cycle activities • Explain charges, answer questions, and communicate requirements regarding patient financial care services

• Deliver structured, role-based training on Benchmark workflows, systems, and best practices during client implementations • Facilitate virtual instructor-led training sessions, workshops, and knowledge transfer meetings for internal and client stakeholders • Collaborate with training leadership and implementation teams to develop and maintain training curriculum aligned with operational workflows • Support system readiness activities, including validation of training environments prior to implementation • Analyze assessment results and user feedback to improve training effectiveness and materials • Provide targeted follow-up training, coaching, and remediation sessions based on performance data • Maintain and update training documentation, job aids, and process guides • Support learning management system (LMS) administration, including course creation, updates, and training completion tracking • Participate in client project meetings to gather requirements and communicate training progress and timelines • Support post-go-live adoption and workflow optimization efforts

• 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

• 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

• Analyze payer payments to identify underpayments and reimbursement discrepancies by comparing paid amounts to contracted rates, fee schedules, and expected reimbursement • Interpret and apply payer contract terms, guidelines, and reimbursement methodologies to ensure accurate payment outcomes • Conduct detailed account analysis using strong analytical skills and persistence to resolve complex denials and payment variances • Review accounts for credit balances and denials, determine root cause, and take appropriate corrective action (refund, adjustment, rebill, or appeal) • Review and resolve credit balances across all payers, with priority on regulatory accounts (e.g., Medicare credit balance reporting) • Submit timely, accurate appeals and process credit resolutions in alignment with payer and regulatory guidelines (including Medicare credit balance requirements) • Ensure all account activity supports forward movement toward resolution with a one-touch mindset • Maintain thorough, audit-ready documentation and accurate account notes • Meet established productivity (APH) and quality standards while prioritizing high-risk, high-dollar, and timely filing accounts • Collaborate cross-functionally to resolve issues and prevent recurrence • Identify trends and escalate systemic issues, providing feedback for process improvement • Initiate and track refunds, adjustments, and reapplications accurately and timely

• Reduce outstanding accounts receivable by managing claims inventory • Speak to patients and insurance companies regarding their outstanding balances • Gather information to register patients, gather or update information, obtain referrals and pre-authorizations • Provide excellent customer service and timely response to questions • Utilize various databases and specialized computer software for revenue cycle activities • Explain charges and communicate requirements regarding patient financial care services

• Lead and manage multiple software development teams, typically supporting 2 to 4 teams with 5 to 10 members each • Provide coaching, mentoring, and performance management for team members and team leads • Drive Agile best practices including sprint planning, backlog grooming, and retrospectives • Ensure predictable delivery of high-quality releases aligned to product roadmaps and business commitments • Guide teams on system design, integration patterns, and scalable application development • Partner with architects and senior engineers to ensure technical consistency across platforms • Align development efforts with healthcare regulatory requirements and RCM workflows • Maintain working knowledge of claims processing, billing, remittance, and denial management systems • Communicate effectively with senior leadership, presenting updates, risks, and strategy in a business-focused manner • Collaborate cross-functionally with product, operations, and client-facing teams • Support team capacity planning, staffing alignment, and organizational priorities • Foster a culture of accountability, collaboration, and continuous improvement

• Design and evolve MySQL schemas to support scalable, multi-tenant architectures • Define and enforce database design standards including indexing, partitioning, and performance optimization • Optimize complex SQL queries and resolve systemic database performance issues • Implement and automate database change management, schema deployments, and migrations • Maintain replication, failover, and disaster recovery processes to ensure high availability • Monitor performance, troubleshoot production issues, and ensure data integrity • Support cross-platform environments including MSSQL and Snowflake integrations • Collaborate with engineering and BI teams to align data structures with reporting and analytics needs • Work within Jira workflows and use GitHub for version control and documentation