This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Redetermination (Appeals) Specialist supports the Medicare Appeals team by performing non-medical reviews, preparing redetermination letters, and ensuring timely and accurate processing. This role requires strong organizational skills, attention to detail, and the ability to work with reports, documentation, and multiple software tools in a fast-paced environment. - Perform non-medical reviews and process redetermination letters, ensuring accuracy and compliance with established timelines (50%) - Prepare unit reports, analyze and interpret workload data, and address processing issues using various software tools (30%) - Update letters, templates, and departmental documents as needed (10%) - Gather and prepare documentation for legal inquiries and administrative requests (10%) Qualifications - High School Diploma or equivalent required - Associate’s or Bachelor’s degree preferred - Minimum of 2 years of relevant experience in healthcare, insurance, or Medicare/Medicaid services - Customer service experience preferred - Medicare-specific experience preferred but not required; comprehensive training provided Requirements - Proficiency with Microsoft Office (Word, Excel, Outlook) - Strong organizational skills with excellent attention to detail - Effective written and verbal communication skills - Demonstrated ability to exercise sound judgment and handle confidential information - Strong spelling, grammar, and punctuation skills Benefits - 401(k) & matching - Dental insurance - Vision insurance - Health insurance - Life insurance - Paid Time Off (PTO) - Paid Holidays

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Coding/CDI Denials Analyst primary responsibilities are to review coding denials for inpatient hospital medical records, for accuracy of assigned codes, and ensure all Official Coding Guidelines and conventions were followed. Also, to ensure the clinical evidence and provider documentation supports the assigned codes and DRG. - Compose and submit appeal letters as appropriate - Identify coding trends/opportunities for root causes of denials - Report trends/opportunities to the Lead Denials Analyst - Identify and communicate front-end activities that influence the denials/appeals process - Seek opportunities for process improvement Qualifications - 3 to 5 years of acute hospital-based Coding and/or CDI experience - An equivalent combination of education and experience may be considered - Denials and Appeals experience in an acute Hospital setting - Experience working in a remote environment - Licenses and Certifications: - (RHIA) Registered Health Information Administrator - (RHIT) Registered Health Information Technician - (CCS) Certified Coding Specialist - (CCDS) Certified Clinical Documentation Specialist - (CDIP) Certified Documentation Improvement Practitioner Requirements - RN with CDI experience (preferred) Benefits - PPO medical plan, available day one at no cost for full-time employee-only coverage - 100% coverage for preventive healthcare - no copay - Paid Time Off, available day one - Retirement Programs through the Teacher Retirement System of Texas (TRS) - Paid Parental Leave Benefit - Wellness programs - Tuition Reimbursement - Public Service Loan Forgiveness (PSLF) Qualified Employer

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We’re looking for an Associate Utility Coordination to support the execution and tracking of 811 design ticket requests. This operations-focused role plays a critical part in preparing projects for successful field operations and final map production. You’ll work closely with Utility Coordinators, Project Managers, and Mapping teams to ensure utility records are requested, documented, and delivered accurately and on time. This role is ideal for someone detail-oriented, process-driven, and interested in infrastructure, utilities, or operations. - Submit 811 design ticket requests to state and local One Call Centers - Verify ticket details and ensure required information is accurate and complete - Track ticket confirmations, response deadlines, and statuses in Monday.com - Contact utility owners to request available records (maps, PDFs, shapefiles, etc.) - Follow up on outstanding requests and escalate issues when utilities are unresponsive - Review incoming utility records for basic completeness and usability - Upload records to SharePoint following Exodigo standards - Update internal teams on ticket status and support weekly reporting - Follow jurisdiction-specific requirements and internal SOPs Qualifications - Strong attention to detail and ability to follow structured workflows - Clear written and verbal communication skills - Comfortable working with task-tracking and document management tools - Ability to manage multiple requests and deadlines - Interest in utilities, infrastructure, operations, or geospatial work Requirements - Exposure to 811 design ticket workflows (internship, coursework, or prior role) - Familiarity with Monday.com, SharePoint, or similar platforms Benefits - Salary range: $60,000 - $80,000 - Location: Remote - East Coast Preferred Company Description Exodigo is the new gold standard for non-intrusive discovery. Our subsurface mapping solutions combine advanced sensors, 3D imaging, and AI technologies to provide a clear picture of the underground for customers across transportation, utilities, construction, and more. We solve the underground by locating pipes, cables, soil layers, rocks, minerals, and even groundwater - so our partners can decide where to design and build safely, with confidence. Headquartered in Tel Aviv and the San Francisco Bay Area, our team brings unparalleled experience in AI and signal processing from elite Israeli intelligence units and is backed by top industry partners. We are experiencing sky-rocketing growth and closed a historically large $96M Series B round in July of 2025.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Defense Health Agency Psychological Center of Excellence (PHCoE) inTransition program is a critical program that provides assistance to transitioning service members or veterans who are currently receiving psychological health care and wish to receive care at a new destination or with a new provider. - Provide specialized, telephonic, one-on-one coaching to facilitate and support a caller’s transition between psychological health care providers or initiation of psychological health care treatment. - Engage in coaching to encourage continued engagement with psychological health care and promote a caller’s overall participation in their own care seeking and maintenance. - Utilize motivational interviewing, aid with barrier identification and task planning, convey information, and support and educate callers through regular telephonic contact. - Use de-escalation techniques when necessary to ensure a positive provider experience. - Maintain accurate documentation of interactions to inform future support strategies. - Stay updated on platform features and product changes to provide accurate support. - Ensure calls and issues are identified, tracked, reported on, and resolved in a timely manner. - Maintain comprehensive tracking and documentation for all identified issues to completion. - Perform other duties as assigned that are commensurate with education and experience. - Maintain regular and reliable attendance. Qualifications - Actively Licensed Mental Health Professional (social work, psychology, marriage and family therapy, behavioral health counseling). - Master’s Degree. - At least 3 years’ experience delivering face-to-face health care with demonstrated clinical experience in triage, care management, motivational interviewing, and crisis counseling. - U.S. Citizen. - Must be able to receive a favorable interim and adjudicated final Department of Defense (DoD) background investigation. - Technologically literate and experienced in navigating multiple screens or web browsers at one time. Requirements - Prior experience supporting DHA, DoD, or VA healthcare programs (preferred). - Familiarity with behavioral health coaching models or case management practices (preferred). Competencies - Proficient data entry skills; ability to resolve problems involving more complex concepts, policies, and procedures. - Fluent in English (oral and written); excellent communication skills with an ability to explain complex issues clearly. - Ability to de-escalate situations and deliver excellent customer service under pressure. - Ability to solve problems through systematic analysis of processes with sound judgment. - Ability to organize people or tasks, adjust to priorities, and learn systems within time constraints. - Ability to prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment. - Ability to manage large amounts of complex information easily, communicate it clearly, and draw sound conclusions. - Critical thinkers with an ability to focus on things which matter most to achieving outcomes. - Ability to function in a fast-paced environment with multiple activities occurring simultaneously. - Customer-focused behavior; helping approach, including listening skills, professionalism, patience, respect, and empathy for service members, veterans, and others. - Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose. - Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the internet, and other departmental software applications. - Ability to conform to established policies and procedures; exhibit high motivation. Working Conditions - Ability to cover any work shift as required. - Works within a standard remote environment. - Extensive work utilizing a computer with prolonged sitting and possibly wearing a headset.