Village Medical

• Provide oversight, management, coaching, development, and evaluation of the performance of the Supervisors on an ongoing basis following applicable performance standards. • Scheduling of all Supervisors to ensure proper shift coverage. • Driving care continuity for patients within Summit locations, ensuring patients are scheduled for their follow-up care as necessary. • Handling of escalated patient and site concerns. • Creating action plans that are effective in solving business issues for the department. • Create and deliver presentations to the Access Center Leadership team when necessary. • Understanding key informatics and metrics and utilizing data appropriately to manage labor, key operational goals, and site staff KPIs. • Monitor employee engagement and designs programs in partnership with the Access Center leadership to maintain high employee engagement. • Coordinate with vendor partner to drive vendor agent success. • Maintain and exceed department goals for management and throughput. • Attend regular meetings with the Clinical managers to review performance and address any concerns. • Coordinates and collaborates with the Access Center Leadership and recruitment team to ensure all staff hires and needs are up to date for Access Center. • Assist in reporting on department metrics back to Access Center leadership regularly. • Enforce and audit policies and procedures related to the flow of information and systems used. • Monitor phone volume and assist with calls when necessary.

• Monitoring and working work queues/dashboard for assigned providers and specialties, to include coding, researching, and trending of coding/billing behaviors • Code all documented professional services provided in both clinic and other facilities • Applies CPT-4, ICD-10-CM, HCPCS and modifiers following coding guidelines • Adheres to official coding guidelines, AMA and CMS • Expert in reviewing assigned providers/specialty areas • Ensures coded services, provider charges and medical record documentation meet appropriate guidelines and standards • Keeps abreast of coding guidelines and reimbursement reporting requirements • Illustrate knowledge of healthcare industry in areas of coding, revenue cycle, claims and state specific insurance/laws • Ensure timely charge review/processing of daily submissions • Monthly review of reports to identify and abstract any missed charges in assigned specialties • Works collaboratively with Team to ensure monthly goals are met • Responsible for creating/updating reference tools for assigned specialties as needed (tip sheets/coding guidelines, etc.) • Utilize appropriate application/methods to ensure all documented professional services are submitted timely • Ability to identify/trend/summarize potential compliance, coding, billing concerns and bring forth a potential resolution • Other duties as assigned

• Review, analyze and code diagnostic information in patient charts; identify coding opportunities for improved coding accuracy • Validate missed coding opportunities • Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines • Audit patient charts to ensure accurate coding

• Review, analyze and code diagnostic information in patient charts; identify coding opportunities for improved coding accuracy • Validate missed coding opportunities • Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines • Audit patient charts to ensure accurate coding

• Gather and enter legal documentation into our internal system within a timely manner • Maintain data integrity through data entry, data cleaning and scrubbing • Conduct research using online tools and other services • Participate in business meetings and phone calls • Provide support where needed

• Secure data sources, design data models, and build distributed components, pipelines, and tools that enable the organization to make analytical, data-driven decisions. • Develop and automate large scale, high-performance data processing systems (batch and streaming). • Build scalable data pipelines leveraging orchestration technologies. • Design our data models for optimal storage and retrieval to meet critical product and business requirements. • Understand and influence logging to support our data flow, architecting logging best practices where needed. • Contribute to shared Data Engineering tooling & standards to improve productivity and quality of output for Data Engineers across the company. • Improve data quality by using & improving internal tools to automatically detect issues. • Design and implement data pipelines and data summarization processes using SQL and apply understanding of relational data structures. • Create a summary data platform supporting our presentation layer that allows clinicians and operators to pinpoint interventions on-demand to patients most in need. • Locate trends in data sets and build algorithms for large and complex data sets. • Analyze and design the best ways to expand our data model to incorporate mission critical data. • Analyze large data sets to identify gaps and inconsistencies, provide data insights, and advance effective product solutions. • Own projects to design and implement best-in-class data processing enabling clean data flow directly to employer’s data model and on to our presentation layer. • Assist with development of systems, strategies, and standards to ensure the quality of data collected, organize and maintain the data properly, and effectively deliver data needed by primary care physicians to manage patient healthcare. • Work with analytics, engineering, and operations to design and implement new analytics products that support improving patient health. • Follow data best practices, including engagement in project status meetings and self-education on new technologies and practices. • Design a new concept within our data model to meet a new operational or analytical need.

• Develop and automate large scale, high-performance data processing systems (batch and/or streaming) to drive business growth • Build scalable data pipelines leveraging orchestration technologies allowing for easy monitoring and troubleshooting • Design data models for optimal storage and retrieval • Improve data quality by using and improving internal tools to automatically detect issues • Create a summary data platform supporting presentation layer • Work with analytics, engineering, and operations to design and implement new analytics products

• Responsible for answering inbound calls in a centralized access center environment • Schedules appointments and answers questions while providing timely, accurate, and excellent customer service • Communicate to the patient a recommendation for appointment times and locations • Obtains, verifies and updates patient information maintaining confidentiality according to policies • Achieves a minimum call standard as pre-determined by department goals • Maintain a 95% or higher call quality threshold and 90% or above CSAT • Adheres to the call center schedule while being accountable for following specific call quality and scheduling guidelines and measurements • Responsible for scheduling patient appointments in a multi-specialty, multi-location environment • Accurately recommends physicians and schedules into multiple medical specialties with individual scheduling criteria for 500+ providers • Responsible for identifying and coordinating the required medical test before seeing a physician for a physical examination or to bring a patient in fasting • Must be able to identify WC/MVA insurance cases for referral to a case coordinator • Perform patient account upgrades including demographics, health insurance, referring provider, and PCP • Must be knowledgeable and conversational in all health insurances that are par or non-par with Summit Health/VillageMD • Must be comfortable with daily extensive computer use navigating multiple applications while engaging in conversations with patients or clinical office staff

• Support service line initiatives within the IAM team • Provide analysis and development knowledge for Identity Governance and Administration (IGA) • Assist in the review and design of new IDN security technologies • Work closely with team leads, peers, and development teams • Manage operations focus of IDN instances including SLA management • Configure and deploy virtual appliance for IDN • Provide key technology leadership for IAM team • Continuously improve the IAM posture at VillageMD

• Assess and analyze injured workers’ medical reports — comparing to evidence-based treatment guidelines, ensuring disability status is supported by diagnosis, work status/restrictions/treatment plan are appropriate, and documentation is correct/complete. • Access database to reference employer accounts’ modified duty policies and ensure medical reports are communicated and meet client specifications. • Transmit employee post injury report information to employers via email. • Communicate with patients in a professional and courteous fashion when needed to discuss changes in work status, restrictions, and treatment plans. • Maintain productivity on assigned caseloads, which may vary in numbers and/or by state jurisdiction. • Work with treating physician regarding cases that may need attention or require amendment to ensure appropriate handling and consideration of modified duty is applied to facilitate return-to-work. • Manage communication (calls, emails) to patients, employers, adjusters and/or nurse case managers regarding any amendments made to case diagnosis, treatment and/or lost time from work. • Respond to inquiries from employers, adjusters/nurse case managers and patients for documentation or information on Workers’ Compensation cases. • Learn and be proficient in rules that govern HIPAA and release of medical records to patients, employers, payers, and providers. • Collaborate with centralized Workers’ Compensation Teams, Occupational Health Support Teams, Sales Team, Clinical Operations Teams, Revenue Cycle Teams and Medical Records Teams to resolve issues and ensure the highest level of customer satisfaction.