Role Description Join Custom Home Health’s Quality team as a contingent OASIS Review Specialist! We’re looking for detail-oriented clinicians with experience in OASIS review, ICD-10 coding, and home health compliance. - Fully remote & flexible - Competitive per-chart rate - Collaborative, quality-driven team Make an impact on patient outcomes—apply today! Custom Home Health is seeking an experienced OASIS Review Specialist to support our Quality team on a contingent, per-chart basis. This fully remote role offers flexibility while allowing you to contribute your expertise in OASIS accuracy, ICD-10 coding, and regulatory compliance. This is an ideal opportunity for a highly skilled reviewer who values flexibility and is confident working independently while maintaining high-quality standards. Qualifications - 1–2+ years of home health clinical experience required - Strong working knowledge of OASIS and ICD-10 coding - OASIS certification preferred - Home Health ICD-10 coding certification required - Knowledge of Medicare regulations and home health compliance - Experience with EMR systems (WellSky experience preferred) - Strong attention to detail and ability to work independently - Excellent communication and collaboration skills Requirements - Perform prospective review of OASIS assessments to ensure accuracy, completeness, and compliance - Validate ICD-10 coding and sequencing based on patient diagnoses and comorbidities - Utilize OASIS validation and alert reports to identify inconsistencies - Collaborate with clinicians to clarify documentation and ensure data integrity - Identify trends impacting quality outcomes, compliance, and reimbursement - Review visit utilization for appropriateness and potential under/over-utilization - Communicate findings and trends to leadership - Participate in QAPI and quality improvement initiatives as needed - Conduct inter-rater reliability reviews when applicable - Assist with additional chart audits as assigned Benefits - Flexible workload based on chart availability - Productivity expectations will be discussed based on availability and performance - Opportunity to transition to increased volume based on quality and consistency - Supportive Quality team focused on education, collaboration, and outcomes

Role Description The Billing Specialist role is responsible for ensuring the accurate and timely submission of claims, with a focus on identifying, correcting, and preventing billing edits and claim rejections, as well as resolving insurance balances and ensuring accurate and prompt reimbursement. This role is essential to achieving high clean-claim rates and minimizing denials and payment delays for our clients. An effective Billing Specialist is a detail-oriented problem solver, and thrives in a dynamic, fast-paced environment. - Resolve and/or remedy claim errors, edits and rejections to ensure proper and timely submission to payers. - Monitor assigned reports and worklists within the patient accounting system, clearinghouse, and/or payer portals, promptly identifying and resolving claim edits and rejections with accuracy and efficiency. - Follow up with insurance companies regarding the status of outstanding claims and pursue appropriate steps for remedy. - Review and respond to insurance correspondence as needed to ensure complete and accurate reimbursement. - Identify and escalate trends to leadership to support process improvement, clean-claim performance, and optimize reimbursement. - Maintain strong working knowledge of payer guidelines, billing rules, and relevant regulatory requirements applicable to assigned work. - Consistently meet or exceed established productivity and quality standards. - Effectively navigate multiple computer systems and applications simultaneously; documenting all actions taken in Revology and/or client platforms in accordance with operational protocols. - Comply with and hold with utmost regard all compliance requirements to protect patient privacy and confidentiality. - Stay curious, kind and contribute positively to the Revology culture. The health + harmony of the team is everybody’s responsibility at Revology. Qualifications - 3+ years of healthcare billing and insurance experience required. - Experience with claim clearinghouses (Waystar, Availity, Change Healthcare, etc.) highly preferred. - Ability to work independently to accomplish goals in a dynamic environment. - High school diploma or equivalent required; bachelor’s degree or equivalent experience preferred. - An aptitude for problem-solving, patience and flexibility while working in the complex industry of healthcare revenue cycle. Excellent attention to detail. - Ability to comfortably navigate a technology-focused setup to efficiently complete assigned work (multiple monitors + several applications open simultaneously). Requirements - Internet capability must be a high-speed internet connection of 40 Mbps speeds or greater. Physical Requirements - Must be able to perform physical activities, such as, but not limited to: moving or handling (lifting, pushing, pulling and reaching overhead) office equipment and supplies weighing 1 to 25 lbs. unassisted. - Frequently required to sit for extended periods during the workday. - Manual dexterity and visual acuity required. - Must be able to communicate effectively on the telephone and in person. Working Conditions - Work will generally be performed indoors in an office environment. - Must maintain a professional appearance and manner. Employment Eligibility - Candidates must be legally authorized to work in the United States without sponsorship.

Role Description The Utilization Management and Review Specialist (UMR Specialist) evaluates patient care and activities against objective criteria in an effort to take a proactive approach in addressing appropriate admission status of each patient. In addition, the UMR Specialist will: - Identify utilization issues involving under or over utilization of services. - Resolve and/or refer utilization issues in accordance with established procedures. - Review medical records to determine appropriateness and medical necessity of admission and hospital stay and use of ancillary services. This position has the potential to be fully remote after 6 months of training and at the discretion of leadership. The nurse must live within traveling distance of an OSF facility. Qualifications - Education: Bachelor's Degree in Nursing must be obtained within 3 years of date of hire into role. - Experience: 2 years of clinical experience in an acute care or managed care setting. - Licensure/Certifications: Current state license as Registered Nurse (IL). - Other skills/knowledge: Working knowledge of clinical EMR system. Requirements - Education: Bachelor's Degree in Nursing. - Other Skills/Knowledge: Working knowledge of Microsoft Office applications. Benefits - Comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition, and well-being offerings. - Pay range for this position is $34.25 - $51.13/hour. Actual pay is based on years of licensure. - This is a salaried position. Company Description OSF HealthCare is dedicated to providing Mission Partners with a comprehensive and market-competitive total rewards package that focuses on the whole person and engages with their current stage of life and career.

Role Description The Contract Specialist provides support for Services contracts, including statements of work (SOWs), vendor SOWs, change requests, etc. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Function as internal project manager, tracking contract project through internal process of creation, approvals, and finalization to ensure document deadline is met. - Using various communication forums (email, phone, instant messaging, team chatting) to accomplish objectives and keep contract projects moving forward to completion. - Assist internal project team with any system work as needed to move project forward, performing project team steps in the system, editing documents, uploading proof of approvals obtained on their behalf when they are unable to access due to travel, network issues, etc. - Assist internal project team with information gathering and escalations in order to meet deadline requirements. - Ensuring compliance requirements. - Proofread and edit all content, ensuring language is clear and concise, and meets Insight requirements. - Apply critical thinking to content input, determining most effective and efficient route to document completion; modification and customization of standard language may be required. - Apply writing skills to communicate complex concepts in clear, concise language. - Obtain required internal stakeholder approvals, including but not limited to business units, finance, legal, compliance, credit, and executive leadership. - Work with vendor input files and SOW documents of varying format, quality and completeness, using critical thinking skills to ensure terms of executable document are correct and consistent. - Work with client-specific document modification requirements and templates of varying format, quality and completeness. - Finalize contracts for presentation to vendor or client. - Work independently and with little supervision, managing work assignments, addressing any concerns/requests by deadlines and escalating to team for assistance before deadline approaches, as needed. - Proactively utilize internal reporting to monitor team workload and offer assistance to teammates to facilitate workload balance, taking overflow projects as needed. - Utilize problem-solving skills to provide effective issue resolution while adhering to process. - Apply critical thinking to interpret next step requirements based on various communications and live document editing. - Provide back-up support to other teammates’ workloads, using internal workflow tool and team email boxes. - Ability to multi-task, managing multiple contract projects simultaneously. - Ability to proactively address tasks and issues. Qualifications - A Bachelor’s degree in a business-related field. - At least 2-3 years of experience in contract management and/or technical marketing/writing, and/or equivalent combination of training and experience. - Responsive, client-focused attitude; self-motivated with excellent organization, planning, and time management skills. - Prior SOW development, contract administration and/or technical writing experience. - Apply critical thinking to problem solve and flexibility to interpret processes to specific project. - Proficient computer skills (Microsoft Office, Document Workflow Management systems). - Excellent written and verbal communication skills. - Excellent interpersonal skills; ability to communicate effectively and professionally with clients, peers, and management. - Ability to efficiently collaborate with internal teams to complete tasks. Benefits - Freedom to work from another location—even an international destination—for up to 30 consecutive calendar days per year. - Access to 11 thriving and diverse Teammate Resource Groups. - Core values of Hunger, Heart, and Harmony, which guide everything we do. Company Description Insight is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation or any other characteristic protected by law.