• Perform follow-up on insurance billing and collection activities • Verify the accuracy and completeness of insurance records and claims • Contact insurance companies to expedite payments from various payers for physician services • Review patient accounts to ensure timely and accurate payment of physician charges • Utilize Epic, system tools, and payer websites for claim submission and inquiry • Meet Quality Assurance and efficiency standards each day • Interact with management and staff members to discuss issues • Perform other duties as assigned by the supervisor and/or manager

Role Description The Medication Access Specialist Supervisor is an essential member of the managed services team and is responsible for overseeing the daily operations of medication access specialists and ensuring efficient workflow management. This role entails: - Supervising and scheduling staff - Conducting recruitment and performance evaluations - Addressing personnel-related matters to cultivate a high-performing team - Reviewing medication authorizations - Conducting benefits investigations - Identifying patient assistance programs - Assisting with coverage denials - Communicating medication options and financial resources to patients as needed Collaboration is critical in this position, as the supervisor works closely with the client, clinical staff, and interdepartmental teams to enhance operational workflows and facilitate the onboarding and training of client-employed medication access specialists. The supervisor participates in quality improvement initiatives and stays informed of industry trends to uphold operational integrity and improve patient care. This role demands strong leadership skills, effective communication, and a commitment to continuous improvement in a dynamic healthcare environment. Qualifications - High school diploma or equivalent (Required) - Associate Degree (Preferred) - 3 years of experience working within healthcare or with pharmacy providers on medication access (Required) - Minimum of 1 year experience supervising or managing a team (Preferred) - State Board of Pharmacy Technician registration obtained within 6 months of hire (Required) - Active CPhT certification through either PTCB or NHA (Preferred) Requirements - Demonstration of good judgment, multi-tasking, and meeting deadlines with a sense of urgency - Exceptional interpersonal skills and ability to cultivate strong client relationships - Proven analytical and problem-solving skills - Clear and concise communication, ensuring transparency within the team - Commitment to maintaining patient confidentiality - Extensive knowledge of medication reimbursement and healthcare prior authorization/coding - Proficiency in Office Suite (Word, Excel, PowerPoint) - Excellent conflict resolution skills, fostering a positive team environment - Strong leadership skills, supervising a high-performing team, and fostering a culture of accountability - High attention to detail, ensuring thoroughness and efficiency in team deliverables Benefits - Competitive salary - Benefits for this full-time salaried role Company Description Visante is an equal opportunity employer. Visante’s people are its greatest asset and provide the resources that have made the company what it is today. Visante is committed to maintaining an environment free of discrimination, harassment, and violence.

• Assist with initiating and implementing of all aspects of the monthly client billing process including: Review and edit monthly proformas as instructed by the Billing Attorney via Paperless Proforma. • Modify time and cost entries as directed. • Write offs and write downs. • Completing transfers, dividing, and combining timecards. • Ensuring rates are accurate. • Applying available funds to billing as instructed. • Verify accuracy of billing. • Compile supporting back-up documentation, per client billing guidelines as required. • Acquire and maintain proper approval documentation. • Finalize and distribute invoices in accordance with Firm and Client guidelines. • Research and respond to billing inquiries from both attorneys and clients in a timely and professional manner. • Submit invoices by mail, email, e-billing via eBillingHub and other e-billing vendors as required. • Set up matters for e-billing on vendor sites and within the firm’s billing system. • Address and resolve billing disputes and discrepancies in a timely manner. • Coordinate appeals for rejected invoices. • Provide client accruals, status updates and budgets upon request. • Communicate with attorneys, clients, or staff to address billing questions, as needed. • Maintain contact with attorneys, staff, and clients and observes confidentiality of client and firm matters. • Answer questions regarding billing processes and procedures. • Collaborate with other departments as needed for Accounts Receivable, client and matter setup, rate management, trust accounting, unallocated funds, and billed on account funds. • Maintain addresses, invoices templates, and e-billing information within the firm’s billing system. • Assist with customized reporting requirements for internal/external clients. • Effectively prioritize numerous tasks and complete within designated time deadlines. • Manage monthly reports surrounding billing workload. • Other duties as assigned.

Role Description This job is responsible for researching any denied claim based on eligibility to ensure correct payers are billed timely on submitted insurance claims. The Eligibility Denial Specialist II is responsible for the timely and accurate resolution of medical claims denied under No Surprise Billing regulations and for performing follow-up on claims with non-contracted payers. This role involves: - Analyzing denied claims. - Addressing issues with both contracted and non-contracted payers. - Working closely with insurance companies to ensure compliance with the No Surprises Act. - Minimizing financial losses while maintaining strong relationships with insurance payers. - Ensuring an optimal revenue cycle process. Our team’s culture is Love based, which thrives on mutual respect, empathy, and support, fostering an environment where every member feels valued and empowered. It prioritizes open communication, collaboration, and understanding, creating a cohesive and inclusive community where individuals can flourish personally and professionally. - Claims Follow-Up: Review and analyze denied claims specifically related to No Surprise Billing regulations. - Liaise with insurance companies, including non-contracted payers, to resolve denied claims, escalate issues when needed, and ensure timely payment. - Ensure compliance with the No Surprises Act, stay informed about any regulatory changes that impact billing practices. - Identify denial patterns related to No Surprise Billing and communicate trends to management for potential workflow improvements. - Skilled in Reconsideration, Redetermination, and Appeals with health insurance carriers. - Excellent written and verbal communication for interacting with insurance companies, colleagues, and supervisors. - Capable of working independently or collaboratively within a team to meet production goals. Shift: 8-hour flex shift, Monday through Friday Work From Home (WFH): This is a work from home opportunity currently. Applicants must live within the Greater DFW area. Additional details are to be discussed as part of the interview process. Qualifications - High School Diploma or equivalent. - 4 years medical billing, claims processing, and/or insurance eligibility experience. - May consider medical billing certifications or graduate degrees in lieu of experience. Requirements - Review, research and resolve denied insurance claims based on eligibility through the billing system, including Medicaid, Medicare, Worker's Compensation, Mental Health payers and third party payers. - Interpret Explanation of Benefits from insurance companies on denied claims. - Contact payers via website, phone and/or correspondence regarding claims denied for eligibility. - Contact patients and assist with Coordination of Benefits or other coverage denials. - Works in all professional billing service areas. - Updates registration and demographic information in all hospital billing service areas. - Resolves eligibility denials in all clearinghouse and payer rejection WQ's. - Review and resolve any Visit Filing order changes and work advanced Visit Filing Order WQ's. - Function as a liaison between clinical departments and third-party payers. - Completes special projects as requested. - Identifies problems and inconsistencies by using management reports; summarizes findings and makes recommendations to resolve billing issues in an effort to maximize collections. - Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records. - Performs other duties as assigned. 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.