Metro Vein Centers

• Serve as the single point of accountability for all payor relationships, contracts, negotiations, and strategic initiatives across an assigned regional portfolio, with full ownership of outcomes across every payor, market, and clinic location within that region. • Lead payor contract negotiations across all commercial, Medicare Advantage, and Medicaid managed care plans within the assigned region, securing favorable rates and terms aligned with organizational benchmarks. • Maintain a current and comprehensive understanding of the regional payor landscape, including plan relationships, contract status, network participation, fee schedule benchmarks, and market-specific dynamics. • Build and maintain senior-level relationships with health plan contracting and network management teams operating within the region. • Ensure all regional payor contracts, fee schedules, amendments, and provider enrollment statuses are accurate, compliant, and up to date within the organization’s contract management systems. • Serve as the regional escalation point for complex payor issues, including claims disputes, authorization denials, credentialing holds, payment variances, and systemic billing problems. • Own the full contract management and modeling function for the region, including timely updates to reimbursement methodologies, fee schedules, and contract term dates.

Role Description Metro Vein Centers is seeking a detail-oriented Medical Claims Resolution Specialist to support our billing and revenue cycle operations. This role is responsible for resolving denied, underpaid, and aging insurance claims while helping ensure accurate reimbursement and timely account resolution. You’ll work directly with insurance payers, payer portals, billing systems, and internal operational teams to investigate claim issues, submit appeals, and reduce revenue delays across our growing national clinic network. The ideal candidate has prior experience in medical billing, insurance follow-up, denial resolution, or accounts receivable within a healthcare environment. Success in this role requires strong problem-solving skills, attention to detail, urgency, and the ability to manage high claim volumes while navigating complex payer guidelines. This is a fully remote role supporting Metro Vein Centers’ growing national operations. The ideal candidate is highly organized, detail-oriented, and comfortable working independently in a fast-paced, high-volume claims environment. What Your Day Looks Like - Investigating denied or underpaid medical claims - Following up with insurance payers through portals and phone communication - Reviewing payer guidelines and submitting claim appeals - Managing aging reports and prioritizing time-sensitive accounts - Reprocessing claims and updating billing information within the EMR system - Collaborating with billing, coding, and operational teams to resolve claim issues - Managing multiple claims simultaneously while maintaining productivity and accuracy standards What You’ll Do - Investigate and resolve denied, unpaid, or underpaid insurance claims - Submit timely and accurate appeals based on payer-specific guidelines and supporting documentation - Follow up on aging claims through payer portals, phone calls, and billing systems - Review claim edits, rejections, and payment discrepancies to determine resolution steps - Perform insurance re-verification and reprocess claims as needed - Post adjustments, payments, and account updates accurately within the EMR system - Maintain detailed documentation regarding claim follow-up activity and payer communication - Collaborate with internal billing, coding, and operational teams to reduce recurring denials and reimbursement delays - Support departmental productivity, quality, and turnaround time expectations What You’ll Bring - Ability to work independently and maintain productivity in a fully remote environment - Strong understanding of medical billing, claims follow-up, denial management, and insurance workflows - Knowledge of CPT, ICD-10, EOBs, payer guidelines, and medical billing terminology - Comfortable navigating payer portals, EMR systems, and healthcare billing platforms - Strong analytical and problem-solving skills with attention to detail - Ability to manage multiple claims and deadlines within a fast-paced environment - Clear written and verbal communication skills when working with payers and internal teams - Organized, self-motivated, and accountable work style Education & Experience - High school diploma or equivalent required - 2+ years of experience in medical billing, insurance follow-up, denial resolution, claims management, or healthcare revenue cycle operations required - Prior experience with surgical, specialty practice, outpatient, or procedural billing strongly preferred - Familiarity with Centricity / Athena EMR preferred - Experience reviewing appeals, denials, EOBs, and payer correspondence strongly preferred Schedule & Location - Fully remote position - Standard business hours Monday–Friday - Candidates must have reliable internet access and a distraction-free remote work environment Benefits - Medical, Dental, and Vision Insurance - 401(k) with Company Match - Paid Time Off (PTO) + Paid Company Holidays - Company-Paid Life Insurance - Short-Term Disability Insurance - Employee Assistance Program (EAP) - Career Growth & Development Opportunities Compensation Starting at $20/hour and up to $25/hour based on experience.

Role Description As the EMR Platform Owner, you will own the strategy, evolution, optimization, and governance of Metro Vein Centers’ enterprise EMR and clinical systems ecosystem. You will lead the organization’s EMR modernization initiative while serving as the long-term operational owner of the platform after implementation. This role sits at the intersection of: - clinical operations - provider experience - revenue cycle - systems architecture - workflow optimization - analytics - operational scalability You will partner closely with leadership across operations, clinical teams, billing, analytics, and technology to ensure the EMR functions as a scalable operational platform for the business. Responsibilities - Platform Ownership & Strategy - Own the long-term roadmap for the enterprise EMR and clinical systems ecosystem - Define and continuously improve future-state workflows across clinical operations, scheduling, intake, documentation, billing, and patient engagement - Establish governance standards for EMR workflows, configurations, integrations, and operational change management - Evaluate platform capabilities, integrations, and optimization opportunities - Serve as the primary business owner for the EMR and related operational systems - EMR Modernization Leadership - Lead the organization’s EMR transition initiative from vendor selection through implementation and post-go-live optimization - Coordinate cross-functional stakeholders across operations, clinical teams, revenue cycle, analytics, and technology - Partner with external consultants, implementation vendors, and EMR partners - Drive implementation planning, migration readiness, workflow alignment, testing, adoption, and stabilization activities - Ensure operational continuity and provider adoption throughout the transition - Coordinate legacy EMR wind-down efforts, including transition planning, data archival needs, vendor communication, and post-conversion support - Operational Workflow Optimization - Partner with clinical and operational leadership to improve provider workflows, clinic throughput, documentation efficiency, and operational consistency - Identify opportunities to reduce administrative friction and automate manual workflows - Collaborate with revenue cycle leadership to optimize authorizations, coding, billing, denial management, and eligibility workflows - Standardize workflows across clinics while balancing operational flexibility where appropriate - Develop KPI frameworks and operational reporting tied to platform performance - Systems & Data Ecosystem - Partner with analytics and engineering teams to support reporting, interoperability, and data governance initiatives - Manage relationships with EMR vendors and third-party integration partners - Support scalable onboarding of future clinics, providers, and acquisitions - Help shape long-term enterprise architecture decisions related to clinical systems and operational platforms - Own system administration and governance (in partnership with IT Director), including SOPs around user security access, role-based permissions, system updates, configuration changes, enhancement requests, and ongoing optimization to ensure platforms remain secure, compliant, and aligned with business needs Qualifications - Experience owning, leading, or optimizing EMR/EHR platforms in a multi-site ambulatory healthcare environment - Strong operational mindset with demonstrated experience improving workflows and systems adoption - Experience working cross-functionally with clinical operations, revenue cycle, analytics, and technical teams - Ability to translate operational challenges into scalable systems solutions - Experience leading or supporting complex healthcare technology implementations or transformations Requirements - Specialty practice or ambulatory care experience strongly preferred - Experience with EMR migrations or enterprise platform modernization initiatives - Experience in high-growth or multi-site healthcare organizations - Familiarity with healthcare operations KPIs, revenue cycle workflows, and provider productivity metrics - Experience working with integrations, APIs, reporting ecosystems, or operational analytics platforms Benefits - Competitive salary (starts at $120,000) and benefits - High-growth environment with ownership and autonomy - Smart, collaborative, creative teammates - Real impact on business performance and patient experience

• Design, implement, and manage network infrastructure across 70+ clinic and corporate locations • Lead a networking strategy and deployment using Fortinet and Zscaler, ensuring optimal performance, redundancy, and failover across clinic sites • Administer and optimize Zscaler ZIA for secure internet access, zero trust network access, and SaaS application control • Manage firewall policies, centralized configuration, and firmware lifecycle across the environment • Implement and maintain internet redundancy strategy (fiber primary, coax/5G failover) across Tier 1 and Tier 2 clinic sites • Monitor network health and performance using available tools; identify and remediate root causes of clinic slowness, outages, and disconnections • Establish and maintain network standards, documentation, and configuration baselines across all sites • Define and report on network KPIs including MTTR, uptime, outage trends, and ISP performance • Partner with the security team to enforce ZTNA policies, access controls, and network segmentation • Support clinic technology deployments for new location openings and infrastructure upgrades • Manage vendor relationships with ISPs, Fortinet, Zscaler, and other network technology partners • Evaluate emerging technologies and provide strategic recommendations to improve network reliability and reduce operational overhead • Other related networking duties as assigned • Occasional travel for critical issues or growth • Being on call rotation

• Monitor security alerts and events across the environment; investigate, triage, and respond to incidents in a timely manner • Administer and maintain Google Workspace security controls, including DLP policies, Gmail security settings, Drive sharing policies, and audit log review • Manage endpoint detection and response operations • Oversee device compliance policies, conditional access rules, and endpoint security baselines • Administer and enforce MFA policies and password complexity standards across all user populations • Conduct quarterly role-based access audits across critical systems including Athena, Luma, Google Workspace, and BigQuery • Own and maintain least-privilege access model across enterprise applications and identity platforms • Manage email security controls including phishing protection, spam filtering, and DMARC/DKIM configuration • Design and execute phishing simulation campaigns; deliver user security awareness training • Support HIPAA security compliance, including contributing to risk assessments, policy updates, and audit readiness • Assist with identity and access management (IAM) administration, including SSO, Google Identity • Collaborate with the network team on ZTNA policy enforcement and Zscaler security configurations • Contribute to incident response plans, disaster recovery documentation, and security runbooks • Track and report on key security KPIs including MFA adoption, device compliance rates, open vulnerabilities, and audit findings • Other related security duties as assigned • Occasional travel for critical issues or growth • Being on call rotation

• Own the patient lifecycle end-to-end, with strategic accountability across booking, attendance, treatment completion, and reactivation • Identify dropoff points across digital and offline touchpoints (email, SMS, front desk, in-clinic, direct mail) and prioritize the highest-leverage interventions at each stage • Translate operational realities (no-show patterns, intake bottlenecks, insurance authorization timing, post-treatment follow-up gaps) into communications strategies that drive measurable outcomes • Champion AI across the lifecycle function, e.g. predictive modeling (no-show, conversion, reactivation), personalization, content generation, and agentic automation for QA, deliverability monitoring, and anomaly detection • Partner with Ops on NPS and reputation-focused automations (review requests, survey triggers, detractor routing) • Partner with Tech and Data on instrumentation, integrations, data hygiene, and measurement infrastructure • Manage and develop the Lifecycle Marketing Manager • Own patient lifecycle communications and behavior within HubSpot, partnering closely with tech and data on architecture, data hygiene, integrations, and governance • Define the roadmap for automation, segmentation, and personalization across email, SMS, and other lifecycle channels • Partner with Tech and Data on integrations between HubSpot and adjacent systems (Luma, EMR, RCM platforms, intake tools) • Define and own the lifecycle KPI framework, with particular focus on consult attendance, treatment completion, and patient reactivation • Establish the testing framework for the function, including A/B and incremental holdout testing to measure causal lift in addition to topline metrics • Design, instrument, and analyze experiments that distinguish lifecycle-driven impact from baseline behavior • Build dashboards and reporting cadences that provide a shared view of lifecycle performance and incrementality • Own governance for all patient and marketing communication—channel strategy, contact frequency, message hierarchy, suppression rules, and brand voice • Own sender infrastructure and consent architecture across email and SMS, including domain authentication, list hygiene, preference centers, and TCPA-compliant opt-in/opt-out flows • Establish the operating model for how lifecycle, brand, intake, and ops teams coordinate on patient-facing messaging • Ensure all communications meet HIPAA, TCPA, CAN-SPAM, and state-level healthcare marketing requirements; partner with Legal/Compliance on consent management, data handling, and audit readiness • Stay current on healthcare marketing regulations and platform policy changes (Apple MPP, Google deliverability shifts, SMS carrier rules, etc.)

Role Description We’re seeking an RCM Tech & Data Manager to act as the dedicated liaison between our Tech & Data team and Revenue Cycle Management. This role reports to the Director of Technology & Data. This is a highly cross-functional role that manages RCM reporting, system integrations, and automation—translating the needs of billing, coding, collections, and denial-management leaders into scalable technical solutions, and translating technical capability back into financial impact. This person must be comfortable working with RCM, Finance, analytics, and engineering partners, and have hands-on experience with most of the following: - Electronic Medical Records (EMRs) - SQL - Google Cloud Platform - Tableau - CRMs - Data warehouses You’ll be the go-to person for turning RCM problems into the right technical solution—and for making sure the right RCM data lands in the right systems, cleanly, accurately, and on time. Key Responsibilities - Analytics & Reporting Strategy - Define the analytics and reporting roadmap for the revenue cycle—deciding what to measure and how to measure it across denials, collections, AR aging, authorizations, and net collection rate - Guide and optimize the dashboard-building process rather than building everything yourself: scope requirements, set standards, review the analyst’s work, and drive iteration - Translate revenue cycle data into trends, impactors, and recommendations that leadership can act on - Direct ad hoc analysis on large, complex datasets and pressure-test the conclusions - Present findings to leadership, highlighting risks, opportunities, and strategic recommendations - Tech Enablement - Identify revenue cycle problems that are best solved with technology, and scope tech-focused solutions to address them - Lead RCM automation initiatives in HubSpot and adjacent platforms—e.g., referral and PCP workflows, lifecycle automation, and patient/provider communication—partnering with the marketing and engineering teams who own those systems - Design workflows that automate manual, error-prone steps in billing, coding, collections, and authorizations - Evaluate and pilot new tools and capabilities, building the business case for what to adopt, build, or retire - Translate RCM pain points into clear technical requirements and shepherd solutions from concept through rollout and adoption - Leverage AI tools (e.g., Claude, Gemini) to accelerate RCM workflows: drafting denial appeals, summarizing payor policies, building documentation, and prototyping automations within HIPAA-compliant, human-in-the-loop guardrails - Vendor Management - Serve as the technical liaison to RCM vendors across insurance verification, credentialing, patient collections, and payor contract negotiation - Own the data and integration relationship with each vendor—defining file formats, data exchange, and how vendor data flows into our reporting and systems - Set technical requirements and SLAs, evaluate vendor performance against them, and hold vendors accountable - Troubleshoot data and integration issues between vendor platforms and our internal systems, and drive them to resolution - Support vendor selection and onboarding by assessing technical fit, data security, and HIPAA compliance - Liaison, Leadership & Process - Act as the primary bridge between the Tech & Data team and RCM, prioritizing and translating business needs into a clear technical roadmap - Provide direction, mentorship, and technical oversight to the RCM Analyst, who works closely with and under this role - Drive process-improvement and automation initiatives that streamline billing, coding, and collections workflows - Maintain RCM data quality, governance, naming conventions, and field mapping across systems - Take a proactive, consulting-style approach—surfacing opportunities and proposing solutions rather than waiting for requests Qualifications - 3-5 years in healthcare analytics, healthcare technology, RCM analytics, or a similar technical role - Technical fluency in (enough to guide, review, and optimize—not necessarily build day to day): - One or more EMRs (e.g., athenahealth, Epic, eClinicalWorks, NextGen) and how clinical/billing data originates within them - SQL and a working knowledge of Python for reasoning about large, complex datasets - Google BigQuery (or a comparable cloud data warehouse) - Tableau (or similar BI tools) - HubSpot or similar automation platforms for workflow-based solutions - Healthcare experience is a must—meaningful time spent in a revenue cycle, or healthcare analytics environment - Deep understanding of revenue cycle processes: billing, coding, collections, authorizations, and denial management - A solutions mindset—able to look at an RCM problem and identify the best technical approach, then guide it to delivery - Experience managing or acting as the technical liaison to third-party vendors (e.g., insurance verification, credentialing, collections, payor contracting) - Experience integrating and troubleshooting data flow between EMRs, billing systems, vendors, and data warehouses - Experience with ETL processes in relation to healthcare and financial data - Working understanding of data governance, naming conventions, and field mapping across platforms - Able to direct QA, debug, and validate discrepancies between source-of-truth platforms (e.g., EMR vs. billing system vs. vendor vs. warehouse vs. BI tool) - Strong project management and communication skills—you’ll work across teams and with multiple high-level stakeholders on high-impact projects - Organized, curious, and detail-oriented—you catch what others miss - Able to troubleshoot technical issues and communicate solutions clearly to non-technical stakeholders - Familiarity with AI tools for accelerating analysis, automation, and documentation in a compliant, reviewed workflow - Experience mentoring or leading other analysts a plus - Bonus: Understands how to navigate data restrictions and system complexities in a HIPAA-compliant environment, ensuring all RCM workflows, integrations, vendor relationships, and data handling meet privacy and compliance standards Benefits - Competitive salary and benefits - High-growth environment with ownership and autonomy - Smart, collaborative, creative teammates - Real impact on business performance and patient experience Company Description At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust. - Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for. - Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients. - A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy. - Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes. - Commitment to Growth – We invest in our people, fostering advancement and professional development at every level.

• Handle financial navigation and patient motivation • Assist patients in scheduling evaluations and understanding costs • Walk patients through personalized treatment estimates and insurance questions • Update CRM and EMR records, process payments, and track authorizations

• Directly manage and coach 10–15 Patient Intake Coordinators in a remote environment • Conduct regular 1:1s focused on performance, skill development, and goal attainment • Set clear expectations and hold team members accountable to KPIs and quality standards • Monitor daily, weekly, and monthly performance metrics including Ultrasounds Attended • Deliver timely actionable coaching based on call reviews, QA audits, and performance trends • Ensure consistent adherence to PIC call quality standards, patient education requirements, and compliance expectations • Execute established sales processes, messaging, and workflows consistently across the team • Partner with leadership to ensure adequate coverage during peak hours

Role Description We’re hiring a Sales Development Representative (SDR) - internally named, Patient Intake Coordinator, with experience in medical call centers, front desk patient scheduling, or insurance-based sales. You’ll serve as the first voice a patient hears, managing phone conversations with empathy and urgency while verifying insurance, overcoming objections, and securing appointments across our 60+ clinics. As a Patient Intake Coordinator, your mission is to: - Connect with prospective patients - Bring clarity to their symptoms and treatment options - Confidently guide them to book a vein evaluation and ultrasound You are the frontline driver of new patient growth, ensuring every interaction is patient-first, educational, and action-oriented. Qualifications - Deep understanding of healthcare workflows - Confidence navigating insurance barriers - Prior experience converting calls into booked visits - Experience in a medical practice, urgent care center, or dental front desk - Bilingual, English/Spanish speaking candidates only Requirements - Serve as the first point of contact for new patient leads - Proactively connect with patients via inbound and outbound phone calls, email, and text - Build rapport, answer questions, and guide patients to book consultations at over 60 nationwide clinics - Communicate insurance coverage and payment options clearly to minimize booking barriers - Verify insurance, initiate authorization requests, and manage CRM/EMR documentation - Troubleshoot patient concerns and tailor your messaging to improve conversion rates (CVR) - Collaborate with internal teams to ensure a seamless handoff to clinical care - Continuously refine your approach based on feedback and performance data Benefits - Medical, Dental, and Vision Insurance - 401(k) with Company Match - Paid Time Off (PTO) + Paid Company Holidays - Company-Paid Life Insurance - Short-Term Disability Insurance - Employee Assistance Program (EAP) Company Description Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 70 clinics across 8 states, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry.