Meduit | Driving Revenue Cycle Performance

• Oversee and manage UAT for revenue cycle system implementations, upgrades, and enhancements • Ensure proper test case design, execution, and validation for billing, claims, and payer workflows • Collaborate with IT and vendors to ensure system functionality aligns with operational and regulatory requirements • Own and manage the centralized intake process for Jira requests generated by RCM Insurance operations • Develop and oversee the RCM automation roadmap including RPA, workflow tools, AI-driven solutions, and CoEs • Quantify, track, and validate cost savings and efficiency gains from automation and system enhancements • Act as a strategic liaison between RCM Operations, IT, Product, and Finance

• Provide senior leadership over Insurance operations transformation, insurance operations support, and continuous performance improvement. • Drive end-to-end optimization across denial management, high-dollar account resolution, User Acceptance Testing (UAT), Jira-based work intake, and the RCM automation pipeline. • Oversee both operational excellence and transformation functions, ensuring alignment between revenue cycle operations, technology, product, analytics, and finance. • Responsible for delivering measurable financial outcomes, including cash acceleration, cost reduction, and margin improvement. • Establish scalable, best-in-class processes and governance. • Manage and develop Directors and Sr. Manager leaders across Insurance Operations Support and Transformation, Testing & Automation.

• Provide strategic and operational leadership for insurance-related revenue cycle functions • Partner cross-functionally with Client Success, Product/ Analytics, IT, and Operational managers • Manage advanced operational analytics, user acceptance testing (UAT) superuser, workflow optimization, and continuous improvement initiatives • Lead enterprise-wide denial prevention and resolution strategy • Oversee prioritization, management, and escalation of high-dollar accounts and complex claims • Architect trending reports and dashboards to identify systemic issues • Consult on denial avoidance strategies regarding front-end, mid-cycle, and back-end processes • Drive standardization across teams for denial workflows, appeals processes, and account resolution • Promote a culture of accountability, transparency, and performance excellence

• Define and execute the vision, strategy, and roadmap for Business Intelligence products and analytics initiatives. • Collaborate with stakeholders to identify reporting needs, gather requirements, and prioritize enhancements based on business value and customer impact. • Manage and prioritize the Business Intelligence product backlog while balancing technical constraints, customer expectations, and organizational objectives. • Partner with operations, development, and client success teams to ensure successful delivery of reporting and analytics solutions. • Establish and maintain standardized reports, dashboards, and KPIs that support operational excellence across multiple business units. • Develop reporting frameworks that enable cross-client benchmarking while supporting individual customer requirements. • Identify and implement best practices, insights, and reporting innovations gathered from internal teams and client partnerships. • Lead efforts to advance predictive analytics, anomaly detection, and proactive reporting capabilities that help identify trends, risks, and opportunities. • Communicate product updates, roadmap priorities, and reporting enhancements to internal stakeholders and customers. • Champion data-driven decision-making by delivering meaningful insights that support business growth and operational 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, government agencies, employers, third party payors, etc. • 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. • Explain charges, answer questions, and communicate a variety of 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