Quipt Home Medical

• Research, develop, and implement effective recruiting and staffing strategies • Work with hiring managers to identify hiring needs • Assist with the design of job descriptions • Source candidates through databases and social media • Conduct pre-screen interviews • Develop, facilitate, and implement all phases of the recruitment process • Collaborate with managers and/or directors to identify and draft detailed and accurate job postings and hiring criteria • Maintain database of candidate records for active and passive applicants • Attract suitable candidates through various channels • Responsible for all internal and external job posting and advertisement processes • Collaborate with HR and Operations during the offer process

• Develop and execute national and regional strategies to expand payer contracts and optimize network participation. • Negotiate favorable contract terms, reimbursement rates, and value-based arrangements with commercial and government payers. • Evaluate new network opportunities and maintain optimal in-network positioning. • Analyze payer contracts to assess financial performance, reimbursement structures, and compliance requirements. • Identify opportunities to improve margins, reduce administrative burden, and enhance contract terms. • Partner with finance and operations teams to model contract performance and support strategic decision-making. • Track and monitor all contract activity across assigned markets. • Build and maintain strong relationships with payer executives and network management teams. • Serve as the primary liaison between the organization and payer partners. • Lead payer meetings, presentations, and high-level negotiations. • Collaborate with revenue cycle management (RCM), billing, and operations teams to identify trends in denials, underpayments, and reimbursement discrepancies. • Lead cross-functional initiatives to resolve payment issues and improve collections. • Ensure compliance with third-party reimbursement requirements and documentation standards. • Develop and update managed care strategies in collaboration with operational leaders, including defined goals, objectives, and performance tracking. • Monitor market trends, regulatory changes, and competitive dynamics within the post-acute care industry. • Support mergers and acquisitions by assessing payer contracts and integration strategies. • Report payer relations activity and progress to senior leadership on a regular basis. • Ensure proper documentation and tracking of expenses and reimbursement requests. • Maintain confidentiality of sensitive payer and organizational information.

• Ability to read and understand medical terminology • Review clinical documentation to ensure compliance with Medicare guidelines • Verify payor source and insurance eligibility • Validate ICD-9/10 codes as appropriate for product dispensed • Ability to apply correct modifier and HCPCS to claims • Submit accurate claims utilizing Brightree billing software • Reconcile billing errors on a daily basis • Complete CMS 1500 claim forms as required • Manage account receivables to maintain payments within 90 days • Adhere to monthly closing timeline requirements • Maintain excellent communication with company management and co-workers • Attendance at all meetings, conference calls, etc. at the discretion of your manager • Maintain compliance with all federal, state and local government regulations and agencies • Other duties as assigned by manager