TridentCare

• Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines • Access client files and payer websites if necessary to verify information • Provide timely responses to all written correspondence inquiries regarding claim/account status • Manage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution • Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution • Contact insurance carriers on a daily basis for claim status and patient information either by phone or website; determine reason for the lack of payment or underpayment • Complete all assignments according to schedule • Achieve and consistently maintain daily, weekly and monthly productivity and quality goals as determined by departmental needs and standards • Must have the ability to Identify/resolve claim and or payer issues as they occur • Perform other tasks as assigned to support the goals of the organization

• The work environment includes driving a company vehicle various distances in all types of weather and traffic conditions. • The successful Mobile Radiology (X-Ray) Technologist must be able to function consistently under stress and be highly safety conscious.

• Provide frontline and advanced application support for doctor related imaging and application issues and related imaging ecosystem. • Responsibilities include incident triage, user enablement, basic configuration changes, workflow troubleshooting, and coordinating with administrators, radiology staff, networking/storage teams, and vendors to ensure high availability and timely result delivery. • Solid understanding of desktop technical support needs. • White glove support: ensuring return to service, account provisioning, roles/permissions, worklist issues, application issues. • Ability to monitor interface queues and resolve common mapping/format issues with guidance. • Strong troubleshooting across endpoints (modality, workstation, viewer), networks, and storage; reading logs and DICOM traces. • Experience with ticketing/ITSM, incident & problem management, and clear stakeholder communication. • Knowledge of PHI handling, access controls, and audit trail practices (HIPAA/security awareness). • Ability to create user guides, SOPs, and provide end ‑ user training and go ‑ live support. • Hands-on experience providing support, including user issues, configuration, and workflow troubleshooting.

• Provide leadership and guidance to the RCM Application Management Support staff • Assist with day-to-day work flow of the department • Oversee RCM applications to insure stable operations • Update and maintain core business system master files and tables • Maintain integrity and ongoing quality control of RCM configurations and reporting • Investigate and escalate when warranted • Support billing center(s) by acting as primary point of contact with ancillary vendors • Provide representation and/or leadership related to internal billing/operational/IT initiatives • Work with the Manager and Director of RCM Applications Management Support.

• Take full responsibility for relationship development/management within each facility assigned to the Account Executive. • Develop relationships with local facility “influencers” which may include, but are not limited to, the Administrator, Director of Nursing and Medical Director in each of their facilities. • Cross sell TridentCare Services to assigned facilities. • Develop and maintain territory coverage with the Regional Sales Director (RSD) and coordinate with the CSE. • Responsible for problem resolution in support of the CSEs operating in their geography. • Problem resolution may include the following: o Billing issues that require on-site support. o On-Site training (various). o General operational issues that require on-site support. o Clinical concerns/issues that require on-site support. • When appropriate, coordinate TridentCare responses (for customer initiated issues) between the Sales Support Team (SST) and our customers. • QA Attendance & Participation is a requirement of the position for those limited accounts assigned to the AE. The Account Executive will coordinate additional QA meeting attendance with the CSE for critical accounts. In situations where QA attendance is not possible, the Account Executive is responsible for ensuring the Administrator, Director of Nursing and Medical Director have electronic copies of their QA reports. • Generate qualified leads for the CSE. • Identify prospects using all available resources and SUGAR database. • Significant travel required as needed within the assigned territory, with daily account visits required. Weekly and monthly call schedule will be approved by RSD and coordinated with the CSE. • Report customer product experience issues through appropriate channels in an accurate and timely manner. • Work as a liaison between the customer, external and internal TridentCare Operations. • Track personnel changes within client facilities, develop and maintain accurate prospect and account file using the SUGAR database and DDF system. • Assist in the gathering of critical information for RFP responses. • Conduct new facility set-ups in person. • Conduct Review of Services for assigned clients, and as needed by the CSE. • Collect and update competitive information. • Attend industry conferences, regional meetings and actively participate in local networking and professional events to cultivate customer relationships. • Submit timely and complete reports on a weekly and monthly basis. • Establish positive public image of the Company in all interactions with prospects, customers, colleagues and competitors. • Commit to professional development as appropriate. • Perform other related duties as assigned.

Role Description Facility Contracting & Quality Assurance (QA) Services analyst is responsible for the review and auditing of facility contracts to include but not limited to reviewing the billing accuracy after the contract has been entered into the billing system for all lines of business. - Primary point of contact for contractual billing questions and/or concerns from internal/external customers. - Audits the correctness of all facility contracts and FDS entered by AMS (RCM Application Management Support). - Work with Sales Reps/RGM’s to obtain all outstanding contracts. - Responsible for assisting with the transition of the acquisition process, to include review of contracts, invoicing pricing and auditing the accuracy of information in appropriate systems. - Serves as the primary point of contact for acquisitions to ensure smooth transition for clients and Billing Team. - Track all DDF, IDX, and TELCOR changes related to facility billing. - Identifies, interprets and evaluates inconsistencies, discrepancies and inaccuracies in DDF files then initiates corrective methods as needed. - Perform monthly billing audits to ensure we are operating in compliance with all company policies/procedures, government and contractual requirements. - Keeps the Manager of Facility Contracting & Quality Assurance (QA) advised of concerns and compliance issues. - Assists Contracting & (QA) Manager in the management and financial performance of the business office functions. - Support Facility Billing Leadership and assume other tasks as assigned to support the goals of the company. - ServiceNow Ticketing Tracking/Completion. - Timely response to internal and external customer via email/voicemail. - Audit all changes made to DDF, IDX, or TELCOR billing systems for accuracy. - Assists with management of the functionality and efficient operation of the Facility Billing System to ensure accurate billing. Qualifications - S. Degree Finance, Accounting or Healthcare preferred. - Stellar oral, written and interpersonal communication skills. - Minimum of Five (5) years facility billing experience. - Minimum of Five (5) years facility contract analytics. - Experience with healthcare billing system solutions and Microsoft Office. - Strong organizational skills and attention to detail with the ability to meet multiple deadlines. - Strong experience in managing within a dynamic, challenging and fast pace environment while working inclusively with people to achieve shared objectives. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Frequently required to stand; to handle or feel; to talk and to hear. - Occasionally required to walk, sit, reach with hands and arms and stoop, kneel, crouch or crawl. - Must occasionally lift and or move up to 15 pounds. - Specific vision abilities required include close vision, depth perception and ability to adjust focus. Work Environment Standard office environment. This is a remote position but candidate should reside within 50 miles of one of these locations for technical support: - Sparks/Hunt Valley, MD - Carrollton, TX - Clearwater, FL - Horsham, PA - Columbus, OH Benefits - TridentCare offers a competitive wage and robust benefit package to full time employees. - Part time employees are eligible for many of the same benefits, pro-rated. - Two weeks of vacation time. - Health Insurance after 30 days! - Sick time. - 8 paid holidays. - Same day pay available. - Medical insurance allowance, giving you the freedom to customize your plan to fit your needs. - Dental insurance. - Vision insurance. - Disability insurance. - Company paid life insurance. - 401(k).

• Prepare and submit claims for accounts to ensure timely reimbursement • Investigate and process refunds when warranted • Prepare, edit and submit account billing in accordance with payer guidelines • Ensure all claims issues are resolved and submitted accurately and timely per insurance guidelines • Verify patient’s insurance eligibility • Submit system payer/fee schedule changes when required to supervisor • Submit all required documentation with claim • Updates patient demographics changes and performs required rebilling • Requests necessary documentation when missing from client, physician or patient as appropriate • Access client files if necessary to verify information • Respond to verbal and written insurance or responsible party inquiries regarding account status within policy and procedure timeline • Research accounts and document follow up appropriately • Resolve account discrepancies and prepare adjustments and refunds for approvals as necessary • Maintain accurate and complete records concerning billing activity on all accounts • Document in the system records • Address problems as they occur • Keep supervisor advised of area or compliance issues which may lead to untimely or inaccurate completion of invoice or claim submission • Complete all reports according to schedule • Perform other tasks as assigned to support the goals of the organization • To be able to work independently. • To work remote, you must have high speed internet, required to hard wire into your router, and be able to pass speed test of at least 20 megabit (Mbit) provided from your internet carrier

• Responsible for verification of insurance eligibility and updating patient account demographics. • Responsible for ensuring that claims go to the correct payers with correct patient demographics. • Verify patient insurance eligibility and update patient's account. • Resolve eligibility errors and denials. • Register patients in the system. • Respond to verbal and written communication or requests from patients and clients. • Request patient information from clients. • Resolve account discrepancies and prepare adjustment request, as necessary. • Research and resubmit claims. • Other duties as assigned.

• Prepare, edit and submit account billing in accordance with client contract or payer guidelines. • Ensure all invoices are submitted accurately and timely per P&P (Policy & Procedure). • Work biller related errors in error work queue. • Submit system contract/fee schedule changes when required. • Submit all required documentation with invoice. • Updates facility census changes and performs required rebilling. • Requests necessary documentation when missing from client, physician or patient. • Access clients files if necessary to verify insurance. • Address problems as they occur. • Keep supervisor advised of area or compliance issues which may lead to untimely inaccurate completion of invoice or claim. • Complete all reports according to assigned deadlines. • Verify and update insurance information every 30 calendar days.

• Preparing and submitting claims for accounts to ensure timely reimbursement • Investigating and processing refunds when warranted • Preparing, editing and submitting account billing in accordance with payer guidelines • Verifying patient’s insurance eligibility • Submitting all required documentation with claim • Updating patient demographics changes and performing required rebilling • Researching accounts and documenting follow up appropriately • Resolving account discrepancies and preparing adjustments and refunds for approvals as necessary • Maintaining accurate and complete records concerning billing activity on all accounts • Keeping supervisor advised of area or compliance issues which may lead to untimely or inaccurate completion of invoice or claim submission