• You’ll prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals • You’ll prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers • You’ll initiate investigation with payers regarding provider enrollment denials and errors • You’ll review correspondence received from payers and action appropriately for resolution • You’ll work as a liaison between the RCM department and Strategy & Operations team to discuss, investigate, and resolve enrollment tasks • You’ll interact with our customers through excellent written and verbal communication • You’ll maintain up-to-date and accurate enrollment records within the Candid Health product • You’ll meet and maintain KPIs/metrics for production and quality • You’ll maintain working knowledge of workflow, systems, and tools used in the department • You’ll maintain HIPAA guidelines

• Conduct surveillance on Liability and Work Comp Insurance claims • Prolonged periods of sitting in a vehicle or other stationary positions during surveillance – up to 12 hours per day • Ability to travel to different locations for investigations, which may involve driving, walking, or using public transportation • Maintain visual focus during surveillance activities, often for extended periods • Ability to navigate various environments, including urban, rural, and indoor settings • Ability to review and dissect comprehensive reports, as well as Police reports • Ability to write a detailed surveillance report to Company Standards • Ability to review video in order to properly prepare reports • Ability to covertly document a Subject without being detected • Ability to search, locate and utilize Social Media throughout the investigative process • Ability to react quickly and use good judgement to scenarios that may arise during surveillance • Knowledge of pretexting is preferable • Ability to think outside the box

• Provide remote counseling services to children, adolescents, adults, couples, families, and groups. • Collaborate with clients to identify concerns, define counseling goals, and develop actionable treatment plans. • Maintain accurate and timely clinical documentation in compliance with all state, federal, and company policies (i.e., HIPAA). • Participate in ongoing professional development through workshops, meetings, and training opportunities. • Integrate Christian faith and psychological best practices in therapy as appropriate. • Refer clients to other resources or specialists as needed. • Engage in occasional community outreach or ministry initiatives relevant to Light Counseling’s mission. • Provide clinical supervision or mentorship to interns and residents (if qualified). • Perform other duties as assigned.

• Conduct proactive outreach to members via phone, SMS, and email to collect required clinical intake information - target of 80-100+ daily touchpoints. • Serve as the primary point of contact for patient inquiries, delivering clear and empathetic communication throughout the intake process. • Gather and validate patient demographic, clinical, and treatment information required to initiate care. • Schedule and confirm treatment appointments while coordinating with nursing agencies and infusion providers. • Verify medication receipt and ensure patients understand treatment preparation requirements prior to therapy. • Prepare comprehensive handoffs to Care Coordinators, including intake summaries, supporting documentation, and next steps. • Verify member eligibility and benefits, confirming insurance coverage, payer details, and cost-sharing information needed to initiate care. • Support preparation of prior authorization documentation and track authorization, renewal, and extension status. • Identify and escalate urgent clinical or safety concerns to licensed clinical staff according to protocol. • Maintain accurate documentation across CRM and EHR systems to ensure continuity of care. • Uphold strict HIPAA compliance and member privacy standards in all communications and records.