TapestryHealth

Role Description The Credentialing Specialist is responsible for managing the credentialing, recredentialing, licensing, and payer enrollment processes for healthcare providers to ensure uninterrupted patient care and compliance with all regulatory requirements. This role requires meticulous attention to detail and the ability to work collaboratively with internal teams, providers, and payer representatives. As our business continues to grow, the scope of responsibilities may evolve to meet organizational needs. This is a Full-Time TEMP to PERM position. - Accurately maintain and update provider credentialing and payer enrollment records in CAQH, PECOS, credentialing software, and other payer-specific systems across multiple states. - Manage and monitor all aspects of the payer enrollment and re-enrollment process to ensure timely and successful participation with contracted insurance plans. - Analyze provider credentialing and enrollment files for completeness, accuracy, and compliance; identify and resolve any discrepancies or deficiencies. - Collaborate closely with internal teams (billing, contracting, operations, and clinical) to align credentialing and payer enrollment processes with organizational timelines. - Develop and maintain positive working relationships with payer representatives, providers, and third-party organizations to expedite application processing and issue resolution. - Serve as a resource for providers by responding to inquiries via phone, email, or internal communication channels in a timely and professional manner. - Track application status, monitor expirables, and ensure compliance with federal, state, and payer-specific regulations. - Assist with audits, special projects, and process improvement initiatives related to credentialing and payer enrollment. Qualifications - 2+ years in provider credentialing. - Working knowledge of payer enrollment processes, timelines, and requirements for commercial and government insurance plans. - Experience using credentialing/enrollment software (i.e., Modio, VerityStream, Cactus, MD-Staff) preferred. - Strong organizational skills and ability to manage multiple applications and deadlines simultaneously. - Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and comfort navigating web-based portals. - Demonstrated ability to maintain strict confidentiality and comply with HIPAA regulations. - Ability to work independently and as a collaborative team member in a fast-paced, evolving environment. - Experience managing collaborative practice agreements preferred. Requirements - The anticipated salary range for this role is $50K-$55K annualized. - This remote position follows a location-based compensation structure. - The posted salary range represents the potential pay range across the geographic markets. - Actual compensation will be determined based on the candidate’s experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

Role Description This is a 1099 contractor position. We are seeking a Contract Review Specialist who can provide a minimum of 10 hours per week of consulting services. Consulting schedule can be flexible, however M-F 9a 5p timing is preferred. - Review selected excerpts from long-term care facility admission packets to identify general consent language. - Interpret consent language to determine whether it meets TapestryHealth’s defined criteria for general consent. - Apply training and established guidelines to ensure consistent and accurate evaluations. - Document and track determinations regarding whether consent language meets required standards. - Identify patterns in consent language across patients within the same facility. - Consolidate and group determinations when identical consent language applies to multiple patients. - Maintain accuracy, consistency, and attention to detail when reviewing patient documentation. Qualifications - Bachelor’s Degree - Experience in contractual communications, technical writing, and/or reviewing contract language - Exceptional written communication skills - Ability to maintain quality standards with repetitive work/reviews - Understanding of contractual language

Role Description The Healthcare Consent Coordinator is responsible for facilitating the consent management process across their assigned region(s) to onboard patients into our care management programs. The position includes, but is not limited to: - Direct engagement with medical proxies and families to gather consent over the phone. - Liaising with various departments to support facilities' consent needs. - Organizing consents from customers. - Management of the opt-out list. - Responding to consent requests from customers. - Internal report-outs around consent KPIs. Primary Responsibilities: - Serve as the primary point of contact for external facilities and proxies, facilitating clear communication to gather consent for patient services before the initial visit. - Proactively manage and centralize consent input sources (app, email, TriMed) while ensuring data accuracy and timeliness. - Communicate with medical proxies, families, and other stakeholders to obtain and verify consent in compliance with TapestryHealth legal standards. - Maintain and update the opt-out list, coordinating with the Revenue Cycle team to address billing-related issues related to consent. - Prepare and submit reports on consent activity, including opt-in/out metrics, to relevant teams and management. - Update data sets for internal reporting, ensuring information is readily available for integration into the data lake. - Build and sustain professional relationships with internal stakeholders and represent TapestryHealth to clients, medical proxies, and families. - Work closely with other departments, such as Operations and Revenue Cycle, to ensure consent requirements are met promptly and professionally. - Respond to inquiries from internal and external stakeholders regarding consent and provide copies as requested. - Stay informed on medical terminology and language to communicate and accurately communicate consent requirements to proxies and facilities. - All other duties as assigned. Qualifications - High school diploma required; Associate’s or Bachelor's degree in healthcare, communications, or a related field preferred. - Previous experience in healthcare coordination, patient services, or a related role is highly preferred. - Exceptional organizational skills and ability to multitask. - Technically savvy: Proficiency with computers and apps. - Proficient in Microsoft Word, Excel basics. - Experience with electronic medical records (EMR). - Problem-solving aptitude. - Outstanding interpersonal and communication skills, particularly in client-facing scenarios. - Familiarity with medical terminology and healthcare practices to effectively communicate consent requirements. - Ability to handle sensitive discussions with discretion. Requirements - Experience in working with team members to promote ideas, issues, and initiatives within a constructive group framework. - Must always represent the organization in a positive and professional manner. - Ability to organize and prioritize tasks. - Ability to work independently, be attentive to detail and maintain a positive attitude. Benefits - The anticipated hourly rate for this role is $22-$24/hr. - This remote position follows a location-based compensation structure. - The posted salary range represents the potential pay range across various U.S. geographic markets. - Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

Role Description As the Account Manager, you will be responsible for managing and developing relationships with our assigned accounts on behalf of TapestryHealth to support your designated Sr. Account Manager. The key focus of this role is to ensure client satisfaction, drive retention, and identify opportunities for account growth. You will work closely with our operations and sales team to achieve these objectives. Primary Responsibilities - Proactively manage assigned facilities - Work collaboratively with assigned Sr. Account Manager for end to end (top down/bottom up) account management - Report through assigned account manager for facility level tasks - Proactively engage with facilities/centers to identify opportunities for upselling, cross-selling, or expanding the scope of products or services - Assist CAM in development of account plans and strategies to maximize client retention and satisfaction - Responsible for all documentation in Tapestry’s CRM to reflect current account status for all assigned facilities - Participate in education on products to customers, both onsite and virtual, to ensure utilization of products - Collaborate with internal teams, such as sales, client services, and operations to address client needs and ensure successful delivery of products or services - Provide exceptional customer service by promptly addressing client inquiries, concerns, and escalations - Assist in creating and presenting QBRs and MBRs to appropriate stakeholders (facility, regional, corporate) to present performance metrics, insights, and recommendations to clients - Participate in assigned internal calls - Monitor client accounts, track key performance indicators, and identify risks or issues that may impact the client relationship - Work closely with business development and implementation team to transition new clients from the sales process to account management, ensuring a smooth handover - Stay updated on industry trends, market conditions, and competitors to effectively advise clients and identify opportunities for account growth - The ability to manage travel and day-to-day tasks is a must - Travel to client facilities as needed, many times including overnight travel, up to 50% per month - Additional duties as assigned Qualifications - 2+ years of experience in related field - Must be comfortable with conducting presentations to customers - Intermediate user of PowerPoint and Microsoft Teams - Direct experience with skilled nursing operations - Previous experience with high level account management - Effective communication and interpersonal skills - Ability to work independently and as part of a team - Travel up to 50% per month as required Requirements - The anticipated salary range for this role is $75K-80K annualized - This remote position follows a location-based compensation structure - The posted salary range represents the potential pay range across various U.S. geographic markets - Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws

Senior Full Stack Developer Role Overview We are seeking an experienced Senior Full Stack Developer with strong expertise in Java backend development, containerization technologies, and database management. The ideal candidate will have deep knowledge of PostgreSQL or other major databases, along with proficiency in ORM frameworks like Hibernate or jOOQ. The role requires hands-on experience working with Docker containers and a solid understanding of Linux systems, including common commands and system-level concepts. Experience with Python, Node.js, and AI agent frameworks is highly valued. Familiarity with medical terminology and healthcare technology environments is a strong plus. This role requires flexibility and close collaboration with ML/AI teams. Key Responsibilities Backend Development (Java/Spring Boot) - Design, develop, and maintain scalable Java-based microservices and RESTful APIs - Implement business logic using Spring Boot - Build efficient data access layers using Hibernate or jOOQ - Optimize SQL queries and database performance - Develop and integrate with PostgreSQL or other databases - Write unit, integration, and end-to-end tests Containerization & Linux - Build, run, and manage containerized applications using Docker - Troubleshoot container issues and optimize container performance - Work with Linux-based environments, including command-line tools and system processes - Understand networking, file systems, and permissions in Linux systems Preferred Qualifications - Experience with Kubernetes and container orchestration - Familiarity with medical terminology and healthcare/health-tech systems - Experience working in regulated environments (e.g., HIPAA compliance) Salary & Benefits: In addition to a competitive base salary, you will also be eligible for a comprehensive benefits package including 4 weeks of annual PTO accrual, and other perks. The anticipated annualized salary range for this role is $135K-145K.This remote position follows a location-based compensation structure. The posted salary range represents the potential pay range across various U.S. geographic markets. Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

Role Description We are seeking an experienced, highly organized, and meticulous Revenue Cycle Performance Analyst. The ideal candidate will be responsible for overseeing reporting, analysis, and reconciliation related to gross and net revenue, specifically but not limited to denials management, charge lag, and charge capture. - Work with the external billing partner to ensure all billing and coding edits are functioning as expected. Recommend new edits as needed. - Analyze workflow and operational procedures to identify opportunities for improved reimbursement. - Understand physician billing charge capture process and compliance issues and can provide resolution by performing research, utilizing third party payor regulations, referencing billing guidelines and CMS guidelines. - Identify root causes of billing issues related to charge capture, billing errors, clearinghouse or payer edits, and coordinate efforts with the Coding Specialist and external billing partner to minimize recurring issues. - Develop a strategy to identify and monitor payer payment variances. - Work closely with Operations and IT to ensure all services are captured, recorded, processed, and billed in an accurate and timely manner. Understand reasons behind delayed charge capture. - Work with external billing partner to regularly review, update and maintain the CDM. - Assist the Coding Specialist with system updates for yearly CPT and ICD-10 code changes. - Work with revenue cycle leadership (Mgr. & VP) and external billing partner to review and communicate the revenue impact of the annual Medicare Physician Fee Schedule changes. - Develop dashboards and report cards to monitor and report progress and trends to revenue cycle leadership (Mgr. & VP) weekly. - Serve as a trusted revenue integrity partner to operational, legal, compliance, information technology, and other teams. - Stay up to date on regulatory requirements associated with governmental, managed care, and commercial payers. Qualifications - Associate's degree in healthcare or equivalent combination of education and experience. - 4-5 years of experience in revenue integrity for a multi-specialty healthcare facility. - Ability to relate well to all kinds of people, up, down, and sideways, inside and outside the organization. - Strong computer skills including advanced knowledge of Microsoft Excel, Word, PowerPoint, Outlook, and OneDrive. - Exceptional analytic aptitude with the ability to analyze large amounts of data, identify patterns, and draw conclusions. - Excellent project management skills. - SQL experience. - Strong attention to detail, critical thinking and problem-solving skills. - Certified Professional Biller (CPB). - Certified Professional Coder (CPC). Requirements - The anticipated salary range for this role is $90-100K annualized. - This remote position follows a location-based compensation structure. - The posted salary range represents the potential pay range across various U.S. geographic markets. - Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

Responsible for providing administrative and clerical support to our IPV clinical providers in the daily management of their practices, helping them to maximize their impact on their patients and practice efficiencies. PRIMARY RESPONSIBILITIES: - Support clinicians through a variety of tasks related to patient care management, organization, and communication. - Daily management of the assigned clinicians’ schedule to ensure appropriate coverage of facilities. - Maintain health information in compliance with corporate and federal regulations. - Ensuring orders/consults/notes are properly recorded and encounters/charts are completed/uploaded into varying EHR’s by providers in a timely manner. - Performing a variety of record keeping duties, such as: receiving, preserving, and updating documents in various software platforms. - Resolving complex issues that relate to clients, patients, operations, and workflow. - Frequent communication with clinicians, clients etc. to ensure the success of the program/practice. - Other duties as assigned in support of efficient department operations. MINIMUM REQUIREMENTS - Current CMA/CCMA/RMA Certificate or completion of a CAAHEP accredited/medical assisting program. - Proof of CPR and First Aid Certification (For all Onsite or Hybrid Remote Medical Assistants) - 3 years of relevant work experience, preferably in primary care: internal medicine, geriatrics, or family medicine. - Proficient in Microsoft Software (Word, Excel, PowerPoint, and Outlook), Virtual Meeting Programs, Various EHR Systems. PREFERRED SKILLS - Excellent verbal/written communication and presentation skills. - Strong analytical and problem-solving skills - Ability to show strong personal initiative and take ownership over work results. - High attention to detail, accuracy and follow through. CST/EST Time Zone. The anticipated hourly rate for this role is $21.00 - $23.00. This remote position follows a location-based compensation structure. The posted salary range represents the potential pay range across various U.S. geographic markets. Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

POSITION SUMMARY: The Scheduling Coordinator is responsible for scheduling and monitoring teams of remote field staff across multiple states. The position includes, but is not limited to, scheduling patients for appointments with TapestryHealth Providers, coordinating field staff to facilitate telehealth visits in SNF or Acute Care Facilities. Create, maintain, and monitor both staff and Provider schedules. Work with and alongside other departments and teams to forecast and plan future schedule and staffing needs. Primary Responsibilities: - Scheduling, rescheduling, and canceling patient appointments as required - Proactively identify and resolve scheduling conflicts - Continually assess staffing needs - Keep stakeholders informed of scheduling changes and answer scheduling queries via email, phone, or teams chat - Provide and maintain a professional relationship with clients, team members, and other outside vendors at all times - Prepare patient charts for upcoming Provider appointments - Prepare spreadsheet for the insurance scrubbers - Support EHR password maintenance process - Continual maintenance of insurance scrub list requests and password checks to support scrub process - Support IPV reconciliation process (closing appointments, deletion of notes, patient opt outs, patient reconciliation) - Coverage for scheduling supervisor as needed (meetings, tasks, etc) - Other duties as assigned MINIMUM REQUIREMENTS: - High School Diploma or equivalent - Experience in the health care field - Exceptional organizational skills and ability to multi task - Technically savvy: Proficiency with computers and apps - Proficient in Microsoft Word, Excel basics The anticipated hourly rate for this role is $19 - $21 This remote position follows a location-based compensation structure. The posted salary range represents the potential pay range across various U.S. geographic markets. Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

Company Overview: TapestryHealth is dedicated to improving the quality of care for patients in skilled nursing facilities. We deliver innovative, technology-enabled healthcare solutions designed to enhance patient outcomes, optimize operations, and support the unique needs of long-term care providers. With a team of experienced professionals and cutting-edge tools, we collaborate with our partners to ensure the highest standards of care while reducing barriers to access and efficiency. Together, we are transforming healthcare for the better — one patient, one facility, and one solution at a time. Job Overview: We are seeking an experienced, highly organized, and meticulous Revenue Cycle Performance Analyst. The ideal candidate will be responsible for overseeing reporting, analysis, and reconciliation related to gross and net revenue, specifically but not limited to denials management, charge lag, and charge capture. Key Responsibilities: - Work with the external billing partner to ensure all billing and coding edits are functioning as expected. Recommend new edits as needed. - Analyze workflow and operational procedures to identify opportunities for improved reimbursement - Understand physician billing charge capture process and compliance issues and can provide resolution by performing research, utilizing third party payor regulations, referencing billing guidelines and CMS guidelines - Identify root causes of billing issues related to charge capture, billing errors, clearinghouse or payer edits, and coordinates efforts with the Coding Specialist and external billing partner to minimize recurring issues - Develop a strategy to identify and monitor payer payment variances - Work closely with Operations and IT to ensure all services are captured, recorded, processed, and billed in an accurate and timely manner. Understand reasons behind delayed charge capture. - Work with external billing partner to regularly review, update and maintain the CDM - Assist the Coding Specialist with system updates for yearly CPT and ICD-10 code changes - Work with revenue cycle leadership (Mgr. & VP) and external billing partner to review and communicate the revenue impact of the annual Medicare Physician Fee Schedule changes - Develop dashboards and report cards to monitor and report progress and trends to revenue cycle leadership (Mgr. & VP) weekly - Serve as a trusted revenue integrity partner to operational, legal, compliance, information technology, and other teams - Stay up to date on regulatory requirements associated with governmental, managed care, and commercial payers Qualifications: Required: - Associate's degree in healthcare or equivalent combination of education and experience - 4-5 years of experience in revenue integrity for a multi-specialty healthcare facility - Ability to relate well to all kinds of people, up, down, and sideways, inside and outside the organization - Strong computer skills including advanced knowledge of Microsoft Excel, Word, PowerPoint, Outlook, and OneDrive - Exceptional analytic aptitude with the ability to analyze large amounts of data, identify patterns, and draw conclusions - Excellent project management skills - SQL experience - Strong attention to detail, critical thinking and problem-solving skills - Certified Professional Biller (CPB) - Certified Professional Coder (CPC) The anticipated salary range for this role is $90-100K annualized. This remote position follows a location-based compensation structure. The posted salary range represents the potential pay range across various U.S. geographic markets. Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

POSITION SUMMARY The Credentialing Specialist performs advanced administrative work related to the organization’s provider credentialing and enrollment activities across multiple states and payer types. This role is responsible for managing complex credentialing functions that support the organization’s clinical operations, regulatory compliance, and revenue continuity. The position requires the regular use of analysis, interpretation, and independent judgment in applying payer, regulatory, and accreditation standards and in addressing non-routine credentialing issues that have operational or compliance impact. PRIMARY RESPONSIBILITIES Manage the full lifecycle of provider credentialing and recredentialing activities across commercial and government payers, ensuring alignment with organizational objectives, regulatory standards, and payer requirements. Analyze, interpret, and apply payer, CMS, and regulatory credentialing criteria to varied provider circumstances; assess complex or non-standard situations and determine appropriate actions to maintain compliance and participation. Supports the collaborative agreement process through administrative coordination, documentation tracking, and communication, ensuring all actions follow defined escalation and approval protocols. Independently evaluate credentialing files to identify discrepancies, gaps, or risks, and address issues through appropriate resolution methods consistent with organizational and regulatory expectations. Serve as an internal resource on credentialing standards and enrollment requirements, providing guidance to leadership, providers, and cross-functional partners regarding credentialing status, risks, timelines, and operational impact. Monitor credentialing outcomes, payer feedback, and processing trends; identify systemic issues and recommend enhancements to workflows, documentation standards, or controls to improve effectiveness and audit readiness. Coordinate and conduct communications with payer representatives, CMS, and external organizations to resolve credentialing matters that require judgment, clarification, or interpretation of requirements. Maintain and oversee credentialing data within applicable systems and platforms, ensuring integrity, consistency, and compliance across multiple jurisdictions. Contribute to and support credentialing-related initiatives, including process redesign, system enhancements, regulatory changes, and organizational growth activities. QUALIFICATIONS Bachelor’s degree preferred; equivalent combination of education and substantial credentialing experience may be considered in lieu of degree. Demonstrated experience with provider credentialing and enrollment processes, including commercial payers and government programs. Advanced working knowledge of credentialing platforms and databases (e.g., CAQH, PECOS, Modio, VerityStream, Cactus). Strong analytical skills with the ability to evaluate complex information and apply standards across varying circumstances. Ability to work independently on non-routine matters and exercise judgment consistent with regulatory and organizational expectations. High level of professionalism, confidentiality, and compliance with HIPAA requirements. The anticipated salary range for this role is $50K-55K annualized. This remote position follows a location-based compensation structure. The posted salary range represents the potential pay range across various U.S. geographic markets. Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.