Signature Performance, Inc.

Role Description You are a person with experience overseeing the end-to-end solution development and life cycle from capture through proposal management. We need someone who has extensive experience in TRICARE including processing, customer service, compliance and performance reporting. In the role of TRICARE Proposal and Transition Manager, you will be responsible for providing strategic leadership and operational direction and ensuring alignment with Tricare policies and manuals. - Tell us about your experience in Federal Healthcare Program Management. - Are you a team player and a self-motivator? - What is your experience with conducting business in a way that is credit to a company? - We are counting on you to manage multiple projects using your problem-solving skills. - We are looking for someone UNCOMMON. What is uncommon about you? - Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. Qualifications - Bachelor's degree in a related field required; 8+ years in program or operations management, with at least 3 years in federal healthcare programs (TRICARE, Medicare, Medicaid, etc.). Equivalent combination of education and relevant industry experience will be considered instead of a degree. - Demonstrated expertise in program management with a proven track record of leading solution development or proposal efforts for large-scale federal contracts. - Strong understanding of program planning, staffing models, and performance management in a federal contracting environment. - Knowledge of and proficiency with DoD contracts and contract administration. - Familiarity with all DoD policies, manuals, instructions, and procedures as they relate to information systems, software, and security. - Ability to communicate effectively and efficiently with DHA and other government leadership, staff, and customers. - Must have a thorough understanding of handling Protected Health Information (PHI) and Personally Identifiable Information (PI) in compliance with HIPAA regulations to ensure data privacy, security, and organizational accountability. - Requires excellent written and oral communication skills. Requirements - Direct experience working with military populations. - Direct experience with TRICARE Policy, Operations, and Systems Manuals. - Direct experience with TRICARE Encounter Provider Records (TEPRV). - Direct experience working with the Defense Enrollment Eligibility Reporting System (DEERS). - Preferred understanding of TRICARE Encounter Data (TED) files. - Demonstrated experience with JIRA and Confluence. Benefits - Health Insurance - Fully Paid Life Insurance - Fully Paid Short- & Long-Term Disability - Paid Vacation - Paid Sick Leave - Paid Holidays - Professional Development and Tuition Assistance Program - 401(k) Program with Employer Match Company Description You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.

Role Description You are a person who loves to identify discrepancies, prevent overpayments, and ensure adherence to regulatory, contractual, and coding guidelines. We need someone who has expertise in medical coding, reimbursement methodologies, and healthcare policy and can apply that expertise to develop, implement, and maintain claims editing rules and audit processes. In the role of Payment Integrity Analyst, you will be responsible for ensuring the accuracy and compliance of healthcare claim payments across commercial, Medicare, and Medicaid lines of business. - Lead complex claim audits and investigations involving high-risk or high-value claims - Design, develop, and maintain advanced claims editing rules and logic - Translate complex regulatory and reimbursement policies into system specifications - Oversee testing, validation, and implementation of editing rules - Conduct root cause analysis and recommend systemic solutions - Monitor CMS, OIG, and regulatory updates; ensure organizational compliance - Act as SME for coding, billing, and payment integrity methodologies - Mentor junior analysts and provide technical guidance - Collaborate with IT, policy, and leadership teams on strategic initiatives - Support benefit configuration and optimization in platforms like TriZetto Facets - Present findings, insights, and recommendations to leadership Qualifications - Associate's or Bachelor's degree in Health Administration, Public Health, Business, or related field (or equivalent experience) - 5+ years of experience in healthcare claims, payment integrity, auditing, or revenue cycle - Advanced expertise in coding systems, reimbursement methodologies, and CMS regulations - Strong experience with claims editing platforms (e.g., Optum CES) - Advanced SQL and data analysis skills - Demonstrated experience in rule development and system configuration - Experience with Tricare and Veterans Administration, Medicare, Medicaid, and/or commercial reimbursement methodologies - Hands-on experience with claims adjudication and editing systems - Strong knowledge of CPT, HCPCS, ICD-10 coding systems - Proficiency in SQL and data analysis - Proficiency in Excel (pivot tables, VLOOKUP, data manipulation) - Experience with EDI transactions, CMS-1500, and claims workflows - One or more of the following: CPC (Certified Professional Coder), CCS / CCS-P (Certified Coding Specialist), RHIT / RHIA - Strategic thinking - Leadership and mentorship - Advanced analytical and technical skills - Deep regulatory and policy expertise - Strong decision-making and problem-solving ability Requirements - U.S. Citizenship or naturalized citizenship is required for this position. - All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii. Benefits - Health Insurance - Fully Paid Life Insurance - Fully Paid Short- & Long-Term Disability - Paid Vacation - Paid Sick Leave - Paid Holidays - Professional Development and Tuition Assistance Program - 401(k) Program with Employer Match

Role Description You are a person who loves to complete audits on work that involves prior authorization, billing, collection/follow-up, payments, refunds, or denials. We need someone who is organized, self-motivated and able to work independently of direct supervision to carry out responsibilities. In the role of Patient Financial Services Quality Assurance Specialist, you will be assisting in maintaining overall quality management for Patient Financial Services team functions. - Performs initial and regular audits on PATIENT FINANCIAL SERVICES team members for accuracy and compliance to department policies and procedures, and industry practices. - Maintains proficiency in policy and procedures including updates and changes. - Develops error tracking systems and data elements used as QA criteria and scoring. - Creates reports to track and monitor QA standards. - Supports creation of tip sheets for all staff members to help eliminate common errors or to address the work around processes for system limitations. - Provides timely feedback on QA activities to associate's manager/supervisor. - Responsible for providing industry metrics on productivity standards and establishes quality assurance protocols. - Assists operations management with training needs, coordinating enhancements or needs assessments that are consistent with department policies and procedures. - Works collaboratively with PATIENT FINANCIAL SERVICES leadership in the development of Performance Improvement coaching and education plans for those staff members that do not meet the minimum requirements on the individual QA scores. - Participates in performance improvement through assisting with the implementation of policies and procedures, productivity standards, planning and implementing change and maintaining and improving productivity through attendance and participation in staff meetings, committees, task forces, cross-functional groups, projects and discussion with hospital and medical staff as observed by supervisor. - Demonstrates thorough knowledge of hospital and clinic billing requirements, health insurance reimbursement principles, client-specific policy and procedures. - Performs regular QA leveling exercises to assure all team members performing QA audits are consistently applying same scoring and methodologies. - Remains updated on payer requirements, coding guidelines, and industry trends to inform training and QA efforts. - Regular attendance at work is an essential function of the job. Qualifications - 2-4 years of experience working with commercial, government billing or reimbursement processes may be substituted for education. - High School Diploma or GED equivalent. - Associate's Degree in Billing, Coding, Business, or related field. - Strong understanding of the end-to-end Patient Financial Services, including patient access, claims management, hospital and professional billing, and collections. - Knowledge of CPT, HCPCS and revenue codes and their effect on reimbursement. - 2-4 years experience in auditing, quality assurance, and training within a healthcare or insurance setting is often required. - Ability to communicate effectively both verbally and in writing. - Proficiency in relevant software systems and Microsoft Office Suite is typically expected. - Strong analytical, communication, and interpersonal skills are essential for effective training and collaboration. - Organized, self-motivated and able to work independently of direct supervision to carry out responsibilities. Preferred Requirements - Familiarity with specific Electronic Health Record (EHR) systems like Epic, Oracle, and Meditech is preferred. Benefits - Health Insurance - Fully Paid Life Insurance - Fully Paid Short- & Long-Term Disability - Paid Vacation - Paid Sick Leave - Paid Holidays - Professional Development and Tuition Assistance Program - 401(k) Program with Employer Match Company Description You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.

Role Description This position is responsible for working closely with Patient, Patient Access, Payers, and Providers' office to validate insurance plans, eligibility, and orders to procure required prior authorizations. This position reports to the Revenue Cycle Manager. Essential Job Functions include the following. Other duties may be assigned: - Collaborate with insurers to obtain pre-authorizations for condition-specific medications, diagnostic procedures and treatments, and support patients in navigating barriers / coverage and disputes. - Submit prior authorization requests for medical procedures, diagnostic tests, treatments, and medications as required by insurance providers. - Gather, review, and submit all necessary clinical documentation to support authorization requests, ensuring accuracy and completeness. - Communicate with insurance representatives to clarify requirements, resolve authorization denials, and follow up on pending approvals. - Collaborate with physicians, nurses, and other clinical staff to obtain additional clinical information or documentation required by insurance companies. - Inform patients about the status of their authorization requests, answer questions regarding coverage, and provide guidance on next steps. - Maintain accurate and detailed records of all prior authorization requests, outcomes, and patient information in compliance with HIPAA regulations. - Stay updated on changes in insurance policies, state and federal regulations, and organizational policies affecting prior authorizations and reimbursement. - Meet quality and productivity standards set by Signature and/or our client. - Provide excellent customer service in keeping with Signature's legacy both internal and externally. - Maintain expertise in multiple current client systems. - Maintain up to date knowledge of revenue cycle management, industry trends perform other duties as necessary. - Acts as an effective team member. Qualifications - Minimum 2 years of prior authorization experience, insurance coordination, or case management within a physician office, hospital, or insurance plan authorizations unit. - Understanding of healthcare insurance systems. - Strong written and verbal communication skills with the ability to explain complex medical and insurance information. - Strong attention to detail. - Passion for patient advocacy with a problem-solving mindset, focusing on overcoming challenges to accessing care. - Ability to work effectively both independently and as part of a multidisciplinary team. - Computer proficiency including Microsoft Office, Word, Excel and Outlook. - Ability to function effectively in a fast-paced environment. - Personal traits of a high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty and integrity, and a demonstration of placing others in a place of high value. Requirements - Preferred experience and understanding of medical terminology. - General knowledge of CPT/HCPCS and ICD-10. Security Requirements - U.S. Citizenship, naturalized citizenship, or permanent status is required for this position. - All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii. Physical Activity - The incumbent must be able to finger, grasp, feel, see, sit, hear, and speak. - This position is sedentary in nature with minimal lifting requirements. Working Conditions - The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. - Routine periods of being on the phone utilizing a headset, sitting and data keying are required. Remote Eligibility This position is full-time remote eligible. Eligibility is determined by Management or Talent Operations.

Role Description This role is responsible for developing, managing, and growing strategic relationships with hospital and health system clients by delivering revenue cycle solutions that improve financial performance, operational efficiency, and compliance. This role serves as a trusted advisor to executive and operational leaders, aligning organizational needs with revenue cycle services, technology, and best practices that drive measurable outcomes. The Revenue Cycle Account Executive leads the full client lifecycle, including: - Prospecting - Solution design - Contract negotiation - Implementation partnership - Ongoing account growth By deeply understanding hospital revenue cycle challenges—such as denials management, cash flow optimization, patient financial experience, and regulatory complexity—the Revenue Cycle Account Executive ensures solutions are tailored to client priorities and deliver sustained value with full accountability for operations, client success, and satisfaction. Success in this role is measured by: - Client satisfaction - Revenue growth - Retention - Achievement of agreed-upon financial and operational objectives Qualifications - Bachelor's degree in Business, Healthcare Administration, or a related field - 12-15+ years of relevant experience required - Advanced expertise in healthcare revenue cycle management and industry practices - Demonstrated success in consultative, enterprise-level healthcare sales - Strong understanding of hospital operations, finance, and governance structures - Ability to communicate effectively with executive-level stakeholders - Proven success leading complex client engagements, guiding diverse teams, achieving measurable results, and driving change in high-pressure environments - Demonstrated ability to build trust and influence C-suite leaders and Boards through value-driven engagement - Strong financial acumen with a track record of measurable impact, including improved performance, efficiency, and client outcomes Requirements - Must conduct business and personal affairs in a manner that is always a credit to the company - Must maintain a good credit rating while employed with the company - Follow HIPAA guidelines for protecting the privacy and security of sensitive personal and/or health information - Follow Signature expected acceptable use to protect proprietary and company-owned information - Complete annually-required Privacy and Security Training - U.S. Citizenship or naturalized citizenship is required for this position - All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii Benefits - This position is full-time remote eligible. Eligibility is determined by Management or Talent Operations Company Description The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. Routine periods of being on the phone utilizing a headset, sitting and data keying are required.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role is responsible for developing, managing, and growing strategic relationships with hospital and health system clients by delivering revenue cycle solutions that improve financial performance, operational efficiency, and compliance. This role serves as a trusted advisor to executive and operational leaders, aligning organizational needs with revenue cycle services, technology, and best practices that drive measurable outcomes. The Revenue Cycle Account Executive leads the full client lifecycle, including: - Prospecting - Solution design - Contract negotiation - Implementation partnership - Ongoing account growth By deeply understanding hospital revenue cycle challenges—such as denials management, cash flow optimization, patient financial experience, and regulatory complexity—the Revenue Cycle Account Executive ensures solutions are tailored to client priorities and deliver sustained value with full accountability for operations, client success, and satisfaction. Success in this role is measured by: - Client satisfaction - Revenue growth - Retention - Achievement of agreed-upon financial and operational objectives Qualifications - Bachelor's degree in Business, Healthcare Administration, or a related field - 12-15+ years of relevant experience required - Advanced expertise in healthcare revenue cycle management and industry practices - Demonstrated success in consultative, enterprise-level healthcare sales - Strong understanding of hospital operations, finance, and governance structures - Ability to communicate effectively with executive-level stakeholders - Proven success leading complex client engagements, guiding diverse teams, achieving measurable results, and driving change in high-pressure environments - Demonstrated ability to build trust and influence C-suite leaders and Boards through value-driven engagement - Strong financial acumen with a track record of measurable impact, including improved performance, efficiency, and client outcomes Requirements - Must conduct business and personal affairs in a manner that is always a credit to the company - Must maintain a good credit rating while employed with the company - Follow HIPAA guidelines for protecting the privacy and security of sensitive personal and/or health information - Follow Signature expected acceptable use to protect proprietary and company-owned information - Complete annually-required Privacy and Security Training - U.S. Citizenship or naturalized citizenship is required for this position - All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii Benefits - This position is full-time remote eligible. Eligibility is determined by Management or Talent Operations

Preferred Qualifications

Preferred Qualifications