Role Description The Credentialing Specialist is responsible for managing insurance credentialing, payer enrollments, and regulatory compliance related to healthcare plans and government programs such as Medicare. This person will ensure that all provider and organizational credentialing requirements are completed accurately, submitted on time, and kept up to date. They will also support audits and maintain documentation to ensure the company remains fully compliant with payer requirements. This role is critical to enabling BetterHealth to maintain existing payer relationships and expand into new insurance networks. Key Responsibilities - Credentialing & Payer Enrollment - Manage the credentialing and recredentialing process for healthcare plans, including Medicare and commercial payers. - Prepare, complete, and submit payer enrollment applications and supporting documentation. - Monitor application status and follow up with payers to ensure approvals and timely processing. - Maintain accurate records of credentialing approvals, renewals, and expirations. - Contract & Compliance Management - Track contract renewal dates and credentialing deadlines to ensure no lapses in network participation. - Maintain internal documentation and compliance records for payer agreements and credentialing files. - Ensure the organization remains compliant with payer requirements and regulatory guidelines. - Audit Coordination - Support preparation for Medicare and payer audits. - Organize documentation and coordinate logistics for audits, including scheduling and documentation readiness. - Ensure all credentialing records and compliance materials are properly maintained and accessible. - Operational Support - Maintain credentialing databases and documentation systems. - Collaborate with internal operations teams to ensure payer requirements are met. - Identify opportunities to streamline credentialing and enrollment processes. Qualifications - 2+ years of experience in healthcare credentialing, payer enrollment, or medical billing operations. - Experience working with U.S. healthcare insurance systems, including Medicare and commercial plans. - Familiarity with credentialing documentation, payer applications, and compliance requirements. - Strong organizational and documentation management skills. - Ability to manage multiple applications, deadlines, and payer requirements simultaneously. - Excellent written and verbal communication skills. - High attention to detail and accuracy. Nice to Have - Experience supporting Medicare audits or regulatory compliance reviews. - Experience working with credentialing software or healthcare CRM systems. - Experience working remotely with U.S.-based healthcare organizations. What Success Looks Like - All credentialing and payer enrollments are submitted accurately and on time. - No lapses in insurance contracts or credentialing approvals. - Payer audits and compliance checks run smoothly with organized documentation. - The organization can quickly and confidently expand into new payer networks.

Job Description - The Client Coordinator is responsible for working through CMS portals, processing the cases and entering into the database. They will be reviewing for eligibility. - This position is responsible for data preparation, data entry, data tracking, documentation, and filing. All duties are handled with a high degree of quality customer service and in compliance with all regulatory and company standards - Handles and responds promptly to inquiries from clients emails regarding questions, report status, concerns, or general requests for information - Utilizes appropriate systems and databases to enter client or examine information and or retrieve information as needed - Pulls medical records from clients external site and uploads into internal database - Ensure everything on the Medical Record is there and filled out properly - From there the medical record will be assigned to a reviewer to provide insight on a certain treatment or diagnosis to help the insurance company decide whether to approve or deny a claim Skills data entry, computer literacy, microsoft office, microsoft excel, outlook, insurance, medical record, medical claims, healthcare, medical insurance, medical terminology, healthcare industry, administrative support, customer service, electronic medical record, CMS, salesforce crm, W365 Edge, EOB Qualifications - Strong healthcare experience. Medical Record or Customer Service - Must have reliable internet & their own private workspace - High school diploma - Need people who are good at data entry, communication, dependable, and computer savvy. - Read through documents to make sure documentation in the report is accurate Job Type & LocationThis is a Contract position based out of St. Louis, MO. Pay and BenefitsThe pay range for this position is $15.00 - $15.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Mar 27, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Dietitian Job ID 51603 Professional Services Hartsfield Village · RC Skilled Care Munster, IN Full-time, Days, 8:00am-4:30pm M-F Hours/Pay Period: 80 FTE: 1 Hybrid available! M-F! MINIMUM QUALIFICATIONS Education and Experience: Must be a Registered Dietitian and certified in the State of Indiana. Knowledge and Abilities: Knowledge of all phases of operations of dietary services. Working knowledge of regulations and procedures of the Indiana State Facilities Division and other regulatory bodies relating to the health care industry and long-term care facilities. Ability to communicate effectively, analyze problems and identify practical solutions. Ability to lead and motivate other employees. Able to conduct in-service programs. Basic business computer knowledge required. AREAS OF RESPONSIBILITY A. Plan regular and therapeutic diet menus. B. Facilitate maintenance of budget and food cost control. C. Assist with assurance of safety and sanitation standards. D. Assess resident food acceptance and needs — both individual and general. E. Participate in committee meetings. F. Provide for quality nutritional care for all facility residents in accordance with all regulatory guidelines. G. Maintain own professional credentials. H. Perform related tasks as required. INTERPRETATION OF RESPONSIBILITIES A. Plan regular and therapeutic diet menus 1. Plan menu cycles. 2. Calculate specific therapeutic diets as ordered by the physician. 3. Provide nutritional supplements and snacks as required to meet individual nutritional needs. B. Facilitate maintenance of budget and food cost control 1. Monitor usage of supplements. 2. Ensure adherence to the nutritional product formulary for the facility. C. Assist with assurance of safety and sanitation standards 1. Complete periodic environmental/sanitation rounds of the kitchen, dining rooms and nourishment rooms to ensure compliance with safety and sanitation regulations and standards AGE TWO. 2. Participate in periodic surveys by the Division of Long Term Care, State Department of Health, and other regulatory agencies as needed. Maintain knowledge of current regulations which impact food handling and departmental operations to ensure compliance. 3. Report all incidents which occur in the Dietary Department or dining room to the Dietary. Director-Clinical Svcs. 4. Report needed repairs in the department to Maintenance on the Maintenance Work Order form. D. Assess resident food acceptance and needs — both individual and general 1. Conduct or delegate initial visit and subsequent conferences with residents in order to assess dietary needs and preferences. 2. Monitor and assist in evaluating resident care plans. 3. Monitor and follow up on complaints about food. 4. Conduct written and informal resident surveys concerning menus and meal service. E. Participate in committee meetings 1. Quality Assurance Committee. 2. Resident Care Conferences. 3. Meetings as assigned. F. Provide for quality nutritional care for all facility residents in accordance with all regulatory guidelines 1. Perform initial nutritional assessments of residents and periodic nutritional review thereafter. 2. Complete applicable MOS Documentation. 3. Develop and update nutritional care plans in connection with MDT. 4. Diet counseling and education to residents and families as needed. 5. Assess and monitor residents receiving enteral nutrition. 6. Assess and monitor high-risk residents. 7. Provide nutrition related in-service education for dietary and nursing staff. 8. Confer with medical staff in providing good nutritional care and meeting the individualized nutritional needs of the residents. G. Maintain own professional credentials 1. Maintain registration with the Academy of Nutrition and Dietetics and certification with the State of Indiana. 2. Maintain continuing education requirements by participation in work-related seminars, etc. H. Perform related tasks as required 1. Conducts special projects as assigned by the Dietary Director Clinical Svcs. 2. Knows and follows existing lines of communication and authority. 3. Attends management meetings as requested. 4. Assure resident rights are maintained at all times, reporting suspected deviations to immediate supervisor.

Role Description This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients. Responsibilities - Performs the final reconciliation on clinic or provider visits and resolves missing, incomplete, or inconsistent documentation by contacting appropriate personnel. - Reviews, abstracts, and codes multiple or sub specialty services and complex or unusual cases, and assigns appropriate coding classifications. - Interacts with and serves as a resource to coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues. - Researches and resolves high volume accounts, complex or escalated suspended claims, and compliance issues using appropriate databases and shares this information with other coding staff. - Researches, interprets, and applies regulatory guidelines to coding and reimbursement decisions and educates staff on associated guidelines and resolutions. - Assists in the auditing process. - Trains levels I and II coders and may serve as a project lead. - Assists with backlog to maintain department quality and productivity standards. - Assists with other department coding needs, as requested. - May participate on committees and work groups. - May formally present information to providers and assist in training efforts regarding coding and billing. Qualifications - American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or other specialty certification indicated by the department. - Three years of coding, clinical or billing experience. Preferred Qualifications - Experience in organizing and conducting coding or billing education. Requirements - Demonstrated potential ability to perform the essential functions as outlined above. - Demonstrated leadership, human relations and effective communication skills. - Demonstrated knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing. - Demonstrated proficiency in computer software (e.g. Microsoft Word and Excel). - Ability to maintain certifications through continuing education credits. - Ability to effectively train others. - Knowledge of CMS, AMA, and AHA coding and billing guidelines. Company Description As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.