Job Summary The Billing Resubmissions & Denials Specialist is responsible for managing, analyzing, and resolving insurance claim denials and underpayments to ensure timely and accurate reimbursement. This remote role plays a critical part in the clinic’s revenue cycle by identifying denial trends, correcting claims, submitting appeals, and working closely with billing, coding, and clinical teams to minimize future denials. Key Responsibilities Denials & Appeals - Review and analyze denied, rejected, or underpaid insurance claims. - Identify root causes of denials (coding errors, authorization issues, eligibility, medical necessity, timely filing, etc.). - Prepare, submit, and track corrected claims and formal appeals. - Follow up with payers to ensure proper adjudication and payment. Resubmissions & Follow-Up - Correct claim errors and resubmit claims within payer timelines. - Monitor aging accounts and prioritize high-dollar or time-sensitive claims. - Document all actions and communications clearly in billing systems. Collaboration & Reporting - Work closely with coders, billers, front desk, and clinical staff to resolve recurring issues. - Identify denial trends and recommend process improvements. - Assist with audits and payer correspondence as needed Compliance - Ensure compliance with HIPAA, payer guidelines, and clinic policies. - Maintain confidentiality of patient and financial information. Required Qualifications - High school diploma or equivalent (Associate’s degree preferred). - 2+ years of medical billing experience, with a strong focus on denials and resubmissions. - Proven experience working with commercial payers, Medicare, and Medicaid. - Strong knowledge of CPT, ICD-10, and HCPCS codes. - Familiarity with EHR and billing systems. - Excellent attention to detail and strong written communication skills. Preferred Qualifications - Experience in neurology or specialty medical billing. - Certification such as CPB, CPC, or CCS. - Experience working remotely in a revenue cycle role. Skills & Competencies - Strong analytical and problem-solving skills. - Ability to manage multiple payers and deadlines independently. - Organized, detail-oriented, and results-driven. - Clear and professional communication with internal teams and payers. Base Compensation Starting at 26,000 MXN Pesos Monthly

Position Summary The Billing Specialist is responsible for accurately creating, reviewing, and submitting invoices, ensuring all billing documentation is properly linked and complete. This role plays a key part in maintaining timely and accurate revenue flow by resolving invoice discrepancies, identifying missing invoices, and ensuring billing accuracy in compliance with company policies and procedures. Essential Duties & Responsibilities - Create, review, and submit accurate invoices in a timely manner - Ensure all invoices are properly linked with corresponding records, notes, and supporting documentation - Identify, track, and send out any missing or delayed invoices - Investigate and resolve invoice discrepancies and billing errors - Review billing data for accuracy, completeness, and compliance - Communicate with internal teams to obtain missing information or documentation needed for billing - Maintain accurate billing records and documentation - Ensure compliance with company policies, payer requirements, and regulatory guidelines - Assist with billing audits and reporting as needed - Support month-end and billing cycle closing processes Required Qualifications Education - High school diploma or equivalent required - Associate’s or Bachelor’s degree in Accounting, Finance, Business Administration, or related field preferred Experience - Minimum 1–2 years of billing, invoicing, or accounts receivable experience - Healthcare billing experience preferred (if applicable) Skills & Competencies - Strong attention to detail and accuracy - Excellent organizational and time management skills - Strong analytical and problem-solving abilities - Effective written and verbal communication skills - Proficiency in billing software, EMR/EHR systems, and Microsoft Office (Excel, Word, Outlook) - Ability to manage multiple priorities in a fast-paced environment Work Environment & Physical Requirements - Office or remote work environment - Prolonged periods of sitting and computer use - Ability to maintain focus for extended periods

Location: Remote (Mexico) Department: Revenue Cycle / Billing Reports To: Billing Manager / Revenue Cycle Manager Job Summary The Slow Pays Specialist is responsible for identifying, monitoring, and resolving insurance claims that have been paid late, partially paid, or not paid within expected payer timeframes. This role focuses on proactive follow-up with insurance carriers to accelerate reimbursement, reduce accounts receivable (A/R) aging, and improve overall cash flow. The position works remotely and collaborates closely with the billing, denials, and coding teams. Key Responsibilities Slow Pay & A/R Follow-Up - Monitor outstanding insurance claims beyond standard payer payment timelines. - Identify slow-paying claims and prioritize based on aging, payer, and dollar value. - Conduct follow-up with commercial payers, Medicare, and Medicaid via portals and phone. - Document all follow-up actions, conversations, and outcomes in billing systems. Payment Resolution - Investigate delayed, partial, or inconsistent payments. - Request reprocessing, corrections, or escalations when appropriate. - Coordinate with denials and resubmissions specialists for claims requiring correction or appeal. Reporting & Process Improvement - Track slow-pay trends by payer and identify recurring issues. - Provide feedback to leadership on payer performance and bottlenecks. - Assist with A/R reports and cash-flow optimization initiatives. Compliance - Maintain compliance with HIPAA, payer regulations, and clinic policies. - Ensure accurate and timely documentation of claim status and payer communications. Required Qualifications - High school diploma or equivalent (Associate’s degree preferred). - 2+ years of medical billing or A/R follow-up experience, with emphasis on insurance follow-up. - Strong knowledge of payer processes, timely filing limits, and reimbursement cycles. - Experience with commercial insurance, Medicare, and Medicaid. - Proficiency with billing software and payer portals. - Ability to work independently in a remote environment. Preferred Qualifications - Experience in neurology or specialty medical billing (EEG, diagnostics, procedures). - Familiarity with CPT, ICD-10, and HCPCS codes. - Billing or coding certification (CPB, CPC, CCS) a plus. Skills & Competencies - Strong attention to detail and organizational skills. - Persistence and professionalism when working with payers. - Analytical mindset and problem-solving ability. - Excellent written and verbal communication skills. - Time management and ability to meet follow-up deadlines. Compensation Starting at 26,000 MXN Pesos Monthly

The Configuration/Change Management Specialist supports enterprise IT operations and Enterprise Management (EM) services within the Military Health System (MHS). This role is responsible for overseeing configuration baselines, managing change control processes, and ensuring system integrity, traceability, and compliance across enterprise environments. *This position is contingent upon contract award.* Responsibilities - Establish, maintain, and enforce configuration management processes for enterprise systems and EM services. - Develop and manage configuration baselines for infrastructure, applications, and system components. - Review, assess, and track change requests to ensure proper documentation, impact analysis, and approval workflows. - Coordinate and support Change Advisory Board (CAB) meetings, including preparation of change records, technical summaries, and impact assessments. - Ensure all changes follow established lifecycle processes including submission, review, approval, implementation, and validation. - Maintain accurate Configuration Management Database (CMDB) records and system inventories. - Validate that configuration updates align with security requirements, STIG guidance, and RMF control documentation. - Track and report configuration deviations, unauthorized changes, and compliance gaps. - Collaborate with Systems Engineers, Platform Engineers, IA Security, and Architecture teams to assess risk and system impact prior to change implementation. - Support release management processes by ensuring configuration and change documentation is complete prior to enterprise rollout. - Assist with audit readiness by organizing and maintaining configuration records, version histories, and change evidence artifacts. - Develop and maintain configuration management plans (CMPs), standard operating procedures (SOPs), and governance documentation. - Identify opportunities to improve workflows, automation, and governance efficiency. - Performs other related duties as assigned. Qualifications - Active Secret clearance - Demonstrated experience supporting configuration management and change control processes in enterprise IT environments - Strong understanding of system lifecycle management, release workflows, and IT service management practices - Experience supporting CAB processes and conducting technical impact assessments - Understanding of Windows enterprise environments, cloud or hybrid infrastructure, and configuration baselining concepts - Knowledge of DoD cybersecurity frameworks, RMF, and DISA STIG compliance processes - Strong documentation, analytical, and reporting skills - Ability to manage multiple change activities in complex, high‑availability environments Preferred: - Experience supporting Enterprise Management (EM) systems or large‑scale federal IT modernization initiatives - Familiarity with DevSecOps or release engineering concepts in regulated environments - Experience supporting audit and compliance inspections within DoD or federal organizations - Experience implementing configuration automation or change tracking enhancements - Experience with secure cloud architecture patterns in Azure (identity, access, segmentation, logging/monitoring) About Us Diné Development Corporation (DDC) is a Navajo Nation owned family of companies that provides government agencies and commercial organizations with high-quality IT, professional, environmental, and research and development services. DDC is dedicated to empowering the Navajo Nation and communities we serve. Benefits Eligible full-time employees receive a comprehensive benefits package, including medical, dental, vision, life and disability coverage, retirement savings with company match, paid time off, voluntary supplemental benefits, and access to an employee assistance program. The package also includes educational assistance, with tuition reimbursement. EEO Statement This contractor and subcontractor shall abide by the requirements of 41 CFR 60‑1.4(a), 60‑300.5(a) and 60‑741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, national origin, or for inquiring about, discussing, or disclosing information about compensation, or any other basis prohibited by law. We participate in E‑Verify.