US Heart & Vascular

Role Description US Heart and Vascular is looking for a Remote Cardiac Monitor Specialist to join our team. Monitors patients with implanted cardiac devices, including pacemakers, defibrillators, and remote monitoring systems. Analyzes device data, providing technical support to patients and healthcare providers, and ensuring optimal device performance and patient care from a remote setting. - Remotely monitors patients' cardiac devices, including pacemakers, defibrillators, and other implantable cardiac devices, to track device performance, patient data, and any abnormal findings. - Reviews and analyzes device data, including ECGs, event logs, and diagnostic reports, to assess device function and identify any issues or potential complications. - Provides technical support and education to patients regarding their cardiac devices, including troubleshooting issues, answering questions, and guiding patients on device usage and maintenance. - Works closely with cardiologists, electrophysiologists, and other healthcare professionals to communicate findings, provide updates on patient status, and coordinate care as needed. - Responds to alerts and notifications from cardiac devices regarding patient conditions, such as arrhythmia or device malfunctions, and takes appropriate action. - Makes and maintains accurate and detailed records of patient interactions, device data, and any relevant observations. - Ensures that all documentation is complete and up-to-date in the electronic health record (EHR) system. - Ensures that all activities and procedures comply with relevant regulations, standards, and best practices related to cardiac device management and remote monitoring. Qualifications - Knowledge and understanding of cardiac devices and clinical or remote patient monitoring practices. - Strong understanding of cardiac device technology, including pacemakers, defibrillators, and remote monitoring systems. - Excellent analytical skills and the ability to interpret complex device data and ECGs. - Exceptional communication skills, with the ability to provide clear instructions and support to patients and healthcare providers remotely. - Proficiency in using remote monitoring software, electronic health record (EHR) systems, and other relevant technology. - Ability to work independently and manage time effectively in a remote work environment. - A bachelor’s degree in nursing, Cardiovascular Technology, Biomedical Engineering, or a related field. - Two (2) years of experience in monitoring, calibrating, or maintaining cardiac devices is required. - Certification in cardiac device management or similar certification (e.g., CCDS, RCIS) is preferred. Requirements - Knowledge and understanding of cardiac devices and clinical or remote patient monitoring practices. - Strong understanding of cardiac device technology, including pacemakers, defibrillators, and remote monitoring systems. - Excellent analytical skills and the ability to interpret complex device data and ECGs. - Exceptional communication skills, with the ability to provide clear instructions and support to patients and healthcare providers remotely. - Proficiency in using remote monitoring software, electronic health record (EHR) systems, and other relevant technology. - Ability to work independently and manage time effectively in a remote work environment. - A bachelor’s degree in nursing, Cardiovascular Technology, Biomedical Engineering, or a related field. - Two (2) years of experience in monitoring, calibrating, or maintaining cardiac devices is required. - Certification in cardiac device management or similar certification (e.g., CCDS, RCIS) is preferred.

Role Description - Responsible for billing all patient claims in a timely manner. - Perform basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills. - Work daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc. - Utilize clinical applications, payer websites and other systems as a research tool to retrieve: - Medical documentation - Patient eligibility information - Billing guidelines - Patient referrals - Hospital or procedure code authorizations - Establish and maintain effective working relationships with carrier representatives and internal and external clients. - Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including: - Claim submissions - Claim appeals - Grievance procedures - Policy changes - Responsible for compliance with all regulatory requirements and/or guidelines, including but not limited to: - OSHA - HIPAA - Federal Fraud and Abuse laws Qualifications - High School Diploma or equivalent required. - Knowledge of the accounts receivables (A/R) process. - Bachelor's Degree in a related field preferred but not required. - Minimum of 3 years of healthcare or insurance billing processing experience required. - Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations. - eClinicalWorks experience preferred but not required. - Proficient in medical terminology, anatomy, and physiology. - Strong knowledge of ICD-10 coding. - Familiarity with medical office procedures and billing practices.

Role Description The Compliance & Audit Coordinator supports the enterprise compliance and audit functions through high reliability administrative support and hands-on execution of audit preparation activities, including structured manual data collection for compliance and audit projects. The Coordinator facilitates the timely retrieval, organization, and documentation of medical records and supporting materials for internal audits and monitoring activities. This role requires strong judgment, discretion, and the ability to manage sensitive information in accordance with HIPAA and organizational policies. The coordinator also supports the Compliance Department by maintaining organized electronic filing systems and standardized templates, and by coordinating departmental calendars and logistics. Responsibilities - Perform structured manual data collection and validation (e.g., tracking logs, spreadsheets, request lists) to support our risk-based internal monitoring plan and audit activities. - Retrieve, compile, and organize medical records and supporting documentation to support audit activities, under the direction of Compliance leadership. - Prepare, format, and proofread compliance and audit materials for internal leadership, Board committees, and, as applicable, external authorities. - Manage calendars, schedule meetings, and coordinate logistics for Compliance leadership and key stakeholders. - Prepare agendas, meeting materials, and supporting documentation, ensuring accuracy, clarity, and version control. - Maintain organized electronic filing systems for compliance records, templates, and audit materials to support audit defensibility and efficient retrieval. - Compile routine metrics, status updates, and summaries for Compliance leadership to support reporting and oversight. Qualifications - Associate’s degree or equivalent combination of education and experience (bachelor’s preferred) in healthcare related field. - Minimum 2 years of experience in healthcare, compliance, audit support, legal operations, HIM/medical records, or high complexity administrative support. - Demonstrated ability to manage multiple deadlines, coordinate across teams, and maintain high attention to detail. - Proficiency in Microsoft Office (Excel, Outlook, Word) and comfort working in shared document environments. - Experience working with medical records workflows (EHR access, ROI requests, chart compilation) or audit request fulfillment. - Familiarity with HIPAA privacy concepts and handling PHI. - Experience supporting compliance, privacy, internal audit, or regulatory readiness functions. - Excellent organization and follow-through; strong task prioritization. - Clear written communication; ability to summarize status succinctly. - Discretion and mature judgment handling confidential information. - Comfortable with structured, repetitive data gathering while maintaining accuracy and audit defensibility.

Role Description - Reviews overpayment worklist and credit balances. - Identifies valid insurance refunds through accurate research of claims, payment posting, adjustment posting, and all other transactions associated to account. - Completes the refund request process to submit to Finance. - Is responsible for completing refund process and tasks in the EMR. - Maintains records for Federal, State, and other appropriate license accreditation. - Maintains a safe workplace by following established safety protocols, reporting hazards, and participating in required safety training. - When position requires travel to/from other locations, ensures vehicles are operated and maintained in compliance with all safety, regulatory, and company requirements. - Fosters a team-oriented environment by encouraging cooperation, providing support, and resolving conflicts constructively. - Demonstrates integrity, professionalism, and respect in all interactions. - Follows processes and policies for the organization. - Reports to work as scheduled, ready to perform duties, and promptly notifies their supervisor of any attendance issues. - Adapts to changing priorities, processes, and business needs. - Performs other duties as assigned. Qualifications - Knowledge of federal, state, and local laws, statutes, regulations, codes, and standards related to the area of responsibility. - Knowledge of explanation of benefits (EOBs) from carriers. - Knowledge of data processing policies, procedures, and concepts. - Knowledge of ICD and CPT codes. - Knowledge of computerized medical office billing systems. - Working knowledge of EMR systems. - Skill in maintaining a high degree of accuracy when posting information to the Practice Management System. - Skill in customer service, including interacting professionally with patients and healthcare staff. - Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc. Requirements - High School Diploma or GED from accredited institution. - One (1) year of medical office billing, payment posting, and collections experience or equivalent. - If the individual in the role will drive for work purposes, a current valid state driver’s license and required minimum auto insurance coverage.

Role Description The Project Manager, Integration is responsible for executing the day-to-day integration of newly acquired or affiliated practices, ensuring alignment with organizational standards across operations, clinical workflows, systems, and support functions. Reporting to the Director of Integration, this role manages detailed integration plans, coordinates cross-functional activities, and ensures timely, high-quality execution from pre-close through post-integration stabilization. Responsibilities & Duties - Support end-to-end integration efforts, including planning, execution, and post-integration follow-up. - Develop and maintain detailed project plans, timelines, and deliverables across multiple functions. - Track milestones and ensure integrations are progressing on schedule and within scope. - Coordinate with operations, clinical leadership, HR, finance, IT, and compliance teams to execute integration activities. - Facilitate cross-functional meetings to align on priorities, timelines, and issue resolution. - Act as a key point of contact for integration-related communication across stakeholders. - Support standardization of workflows, policies, and procedures across newly integrated practices. - Coordinate EMR/EHR transitions, data migration, system access, and training activities with IT and clinical teams. - Assist with aligning HR, payroll, benefits, and compliance processes to enterprise standards. - Support communication plans to ensure clear, consistent messaging throughout the integration lifecycle. - Coordinate training sessions and onboarding activities for practice staff. - Monitor adoption of new processes and escalate gaps or resistance to leadership. - Identify integration risks, dependencies, and gaps; escalate and support mitigation planning. - Ensure timely escalation of issues impacting timelines, scope, or outcomes. - Maintain clear documentation of risks, actions, and resolutions. - Track and report on integration KPIs, milestones, and deliverables. - Provide regular updates to the Director of Integration and key stakeholders. - Support post-integration reviews and continuous improvement efforts. Qualifications - Strong project and program management expertise. - Executive-level communication and stakeholder management skills. - Ability to drive alignment across cross-functional teams. - Data-driven decision-making and performance management mindset. - Experience with EMR/EHR systems and healthcare operations. - Knowledge of the principles, concepts, and theories relevant to the assigned functional area. - Skill in completing assignments accurately and with attention to detail. - Ability to communicate clearly and concisely both orally and in writing in English, to various audiences including leaders and frontline employees. - Ability to manage time, organize work, set priorities, meet deadlines, and follow up on work assignments with minimal supervision. - Ability to work independently, and as a team, to complete daily activities according to the work schedule. - Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc. - Supports the Mission, Vision and Values of USHV and the practices. Requirements - Bachelor’s degree in Healthcare Administration, Business, or related field. - At least 3 years of experience in healthcare operations or integration support. - Current valid state driver’s license and required minimum auto insurance coverage. - Experience in healthcare, MSO, or multi-site organizations preferred but not required. - Understanding of physician practice operations preferred but not required.

Role Description US Heart and Vascular is needing a Remote Payment Posting Representative to join our team. The Payment Posting Representative performs the role of accurately recording and reconciling incoming payments (electronic and manual) from patients, insurance companies, and other third-party payers. This position requires a strong attention to detail, financial acumen, and a thorough understanding of healthcare billing and reimbursement processes. Responsibilities - Post payments daily as assigned - Receive and review incoming payments, including checks, electronic funds transfers, credit card payments, and electronic remittance advice (ERA) files from insurance companies. - Verify the accuracy of payment amounts, patient information, and insurance details. - Identify discrepancies or payment errors and escalate them to the appropriate staff members. - Apply adjustments to patient accounts as necessary, such as deductibles, co-payments, or contractual adjustments. - Ensure that denied claims are routed to the appropriate work queues in the EMR system. - Generate and reconcile daily batch reports on all posting activities. - Perform reconciliation of payments received against the EMR batches to validate posting amounts. - Assist with the troubleshooting and resolution of system-related issues affecting cash posting processes. Qualifications - Familiarity with medical office procedures and billing practices - Knowledge of the accounts receivables (A/R) process - Min of 1 years of experience in revenue cycle management - One year healthcare or insurance billing processing experience required - One plus years' customer service experience required - Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations - eClinicalWorks experience a plus - SmartSheet experience a plus

Role Description US Heart and Vascular is in need of a Remote Provider Enrollment & Credentialing Specialist to join our team. - Be the first point of contact to staff; resolve enrollment & credentialing issues by answering questions, making recommendations for resolution and escalation, checking enrollment status, verifying payer enrollment requirements and system implementation, appropriately follow-up on Provider Issue Forms; facilitates group and individual enrollment with commercial and government payers. Responsibilities - Resolves issues and concerns by correctly answering questions from staff and providing appropriate follow-up on issues, escalating to Team Manager, when appropriate. - Provides the team with coaching, training, and auditing on assigned tasks. Partner with Team Manager to evaluate team’s performance to improve overall production and facilitate continuous improvement. - Assists Team Manager in monitoring inventory and production and facilitates the escalation process as needed. - Become proficient in discussions with payors to facilitate closure of any identified issues. - Research and review individual Provider Issue Forms for appropriate follow-up and resolution. - Maintain Matrices - payer enrollment, matrix, SOPs, new site sheets, email templates, welcome letters, etc. - Create and distribute reports containing provider credentialing and enrollment data for various departments within the organization. - Research new state enrollment requirements for group and individual provider enrollment. - Assists Contract Implementation staff with accurately documenting enrollment and billing requirements for payer contracts. - Maintain and complete new entries in Veritystream. - Facilitate completion and submission of payer enrollment applications for government and commercial payers. - Monitor application status process to identify emerging issues and communicate them to Team Manager. - Monitor enrollment status for groups and individuals. - Monitor license and credential expiration dates and advise staff members of required “renew” by dates. - Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. - Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. - Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance. - Complete revalidation requests issued by government payers. - Credential new providers and re-credential current providers with hospitals at which they hold staff privileges. - Work closely with the Director of Revenue Cycle and billing staff to identify and resolve any denials or authorization issues related to enrollment & credentialing. - Performs and assists with other department duties as required. Qualifications - Meticulous follow-through of delegated tasks, including follow-up with staff to ensure completion, quality, and meeting deadlines. - Ability to exhibit leadership by demonstrating commitment to team development, adapting to change in a positive manner, and supporting alignment with organizational goals including continuous improvement efforts. - Ability to pay close attention to detail and produce extremely accurate work. - Strong analytical and problem-solving skills. - Ability to organize and prioritize job tasks and requirements. - Excellent organizational skills with the ability to prioritize assigned duties in an efficient amount of time. - Ability to effectively perform in a multi-task work environment. - Strong communication and interpersonal skills. - Ability to effectively use oral and written communication skills with clinicians, external agencies and management in a courteous and professional manner. - Must have knowledge of correct English, proper grammar and spelling. - Knowledge and skills in using personal computers (Windows) with a strong emphasis on Microsoft Office Programs- Outlook, Word, Excel and Adobe Acrobat. Requirements - High school diploma or equivalent. - Two (2) years office experience or college course work preferred. - Knowledge of health plan billing and enrollment preferred. - PECOS and CAQH experience preferred. - Veritystream experience a plus.

Role Description The Revenue Cycle Management Supervisor oversees all aspects of the billing process to ensure accuracy, efficiency, and compliance. This role is responsible for managing an established team of AR specialists, providing guidance and support, ensuring timely and accurate submission of medical claims to insurance companies, and resolving complex billing issues. Responsibilities - Ensure timely and accurate transmission of claims - Monitor and manage AR performance indicators to meet or exceed goals - Ensure billing operations are performed in an accurate and timely manner - Provide leadership, guidance, and support to billing staff to ensure productivity and morale - Evaluate billing processes and procedures and assist management in developing revisions - Execute process improvement directives to streamline billing procedures and enhance efficiency - Perform claim status follow-up activities utilizing the current Practice management (PM) and clearinghouse systems - Utilize clinical applications, payer websites, and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. - Establish and maintain effective working relationships with carrier representatives and internal and external clients - Work with billing vendors to ensure that client requests for information (RFIs) and tasks are completed accurately and timely - Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures, and policy changes - Train and oversee the personnel involved in billing functions - Direct assigned tasks and aid as needed - Review work of billing staff to ensure accuracy, resolving inconsistencies as needed - Assist with performance evaluations - This is a working position and will need to be able to help in various billing functions Qualifications - Proficient in medical terminology, anatomy, and physiology - Strong knowledge of ICD-10 coding - Familiarity with medical office procedures and billing practices - Flexible, Detail Oriented, Customer focused, Team working, Initiative, Problem solving, Organized, Self-motivated - Adopt the USHV culture of respect, integrity, and accountability that contribute to an internal environment of teamwork and promote a positive brand image to our external customers - Incorporate a leadership mindset to your role - Comply with USHV procedures, policies, and regulations relevant to your role - High School Diploma or equivalent required - Strong knowledge of the accounts receivables (A/R) process - Bachelor's Degree in a related field preferred - At least five years healthcare or insurance billing processing experience required - At least two years in a supervisory role is preferred - Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits, and HIPAA regulations - eClinicalWorks experience is a plus Company Description Houston is a diverse city with a booming job market in energy, healthcare, and tech. It has no state income tax, an affordable cost of living, and world-class dining and entertainment. Green spaces, museums, and pro sports teams add to its appeal. Whether for career growth or culture, Houston has it all.

Role Description - Establish and maintain strong relationships with referring physicians and medical practices. - Act as a trusted advisor and resource for physicians, answering questions about the facility, services, and capabilities. - Conduct regular visits to physician offices to build rapport and address concerns. - Promote the organization's services and capabilities to drive patient referrals. - Identify and develop strategic opportunities to increase referrals. - Work with physicians to streamline the referral process. - Provide continuous relationship management with current referral sources. - Develop and implement physician outreach strategies, including events, presentations, and written materials. - Respond to physician inquiries promptly and professionally. Participate in the referral process as necessary. - Facilitate communication between the organization and referring physicians. - Track and analyze referral data to identify trends and areas for improvement. - Report on referral performance and other key metrics to management. - Contribute to the development and implementation of physician relations strategies. - May be involved in training and onboarding new physician liaisons. - May assist with the management of operations, projects, or social media campaigns. - May provide input and assistance with the evaluation and management of support roles. Qualifications - Minimum 5 years' experience with Physician relations, healthcare marketing, or business development. - Minimum 5 years' experience working in or with hospitals, medical groups, or health systems. - Bachelor’s degree in business, Marketing, Healthcare Administration, Communications, or related field. - Excellent verbal and written communication skills. - Strong relationship-building and interpersonal abilities. - Comfortable with strategic planning and execution. - Knowledge of healthcare operations, service lines, and provider dynamics. - Willingness to travel within the assigned region. - High level of professionalism, diplomacy, and discretion. Requirements - Minimum 5 years' experience with Physician relations, healthcare marketing, or business development. - Minimum 5 years' experience working in or with hospitals, medical groups, or health systems. - Bachelor’s degree in business, Marketing, Healthcare Administration, Communications, or related field. - Excellent verbal and written communication skills. - Strong relationship-building and interpersonal abilities. - Comfortable with strategic planning and execution. - Knowledge of healthcare operations, service lines, and provider dynamics. - Willingness to travel within the assigned region. - High level of professionalism, diplomacy, and discretion. Company Description US Heart and Vascular is in need of a Senior Market Development Liaison to join our team in Houston, TX.

Role Description Leads and performs coding of medical records, diagnoses, and procedures for accurate billing and insurance claims processing. Translates medical information into standardized codes, ensuring compliance with regulatory requirements and quality standards. Responsibilities & Duties - Reviews and analyzes medical records, including patient charts, to assign appropriate codes for diagnoses, procedures, and services using ICD-10 and other coding systems. - Enters coded information into electronic health record (EHR) systems and billing software accurately and in a timely manner. - Verifies the completeness and accuracy of medical documentation to ensure that all services are properly coded and supported by the patient’s medical records. - Ensures that coding practices comply with federal, state, and payer regulations, as well as healthcare coding guidelines and standards. - Assists in the preparation and submission of insurance claims, ensuring all required information is included and addressing any issues or denials promptly. - Participates in coding audits and quality assurance reviews to identify and resolve discrepancies or coding errors. - Addresses patient and provider inquiries related to coding and billing issues in a professional and courteous manner. - Leads, trains, and assists other medical coders and staff engaged in medical records to maintain coding accuracy and compliance. - Participates in mentoring, coaching, counseling, and termination of employees, as needed. - Works closely with healthcare providers, billing staff, and insurance companies to resolve any issues related to coding or claims processing. - Maintains a safe workplace by following established safety protocols, reporting hazards, and participating in required safety training. - Fosters a team-oriented environment by encouraging cooperation, providing support, and resolving conflicts constructively. - Demonstrates integrity, professionalism, and respect in all interactions. - Follows processes and policies for the organization. - Adapts to changing priorities, processes, and business needs. - Performs other duties as assigned. Qualifications - Knowledge and understanding of electronic health records, preferably in a clinical or hospital setting. - Proficiency in using electronic health record (EHR) systems and coding software. - Strong knowledge of ICD-10, CPT, and HCPCS coding systems and guidelines. - Attention to detail and accuracy in coding and data entry. - Analytical skills and ability to interpret medical documentation effectively. - Excellent communication skills, with the ability to work collaboratively with healthcare providers and administrative staff. - Ability to handle sensitive information with confidentiality and professionalism. - Knowledge of federal, state, and local laws, statutes, regulations, codes, and standards related to the area of responsibility. - Knowledge of the principles, concepts, and theories relevant to the assigned functional area. - Skill in completing assignments accurately and with attention to detail. - Ability to communicate clearly and concisely both orally and in writing in English, to various audiences. - Ability to manage time, organize work, set priorities, meet deadlines, and follow up on work assignments with minimal supervision. - Ability to work independently, and as a team, to complete daily activities according to the work schedule. - Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc. Requirements - High School diploma or GED from an accredited institution. - Certification as a Medical Coder from a recognized professional organization.