Role Description Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. - Medical Records Preparation: - Collect, organize, and prepare medical records and related documentation required for insurance claim review. - Ensure that all records are complete, accurate, and compliant with insurance requirements. - Claims Submission Support: - Work closely with billing specialists and AR specialists to submit medical records and documentation as part of the insurance claims process. - Documentation Review: - Verify the accuracy and completeness of all documentation before submission to third-party payers. - Identify and address any missing information or discrepancies. - Coordination with Providers: - Liaise with healthcare providers and internal departments to obtain additional information or clarification on medical records as needed for medical record submissions. - Compliance: - Ensure that all medical records and documentation submitted to third-party payers comply with HIPAA, payer-specific guidelines, and other regulatory requirements. - Follow-Up: - Track the follow up on the status of submitted claims provided by AR specialists. - Ensure that any requests for additional documentation from insurance companies are addressed promptly. - Verify and properly document confirmation of receipt of submitted medical records facilitating the next phase of follow up. - Communication: - Maintain clear and effective communication with Leadership, billing and collections staff, insurance companies, and healthcare providers regarding the status of claims issues related to documentation. - Record Management: - Maintain organized and secure records of all documentation submitted to insurance companies. - Ensure that these records are accessible for audits or reviews. - Reporting: - Generate reports on the status of medical records submissions, including any delays, denials, or issues related to medical records. - Provide these reports to the Payer relations manager and the Director of Revenue Cycle Management. - Training and Support: - Assist and provide guidance and training to billing staff on the proper documentation and submission procedures required for successful claims processing involving medical records submissions as needed. - Assist and provide guidance and training to AR specialists on the proper follow up procedures required for successful processing of claims involved in the medical record process. - Process Improvement: - Identify areas for improvement in the medical records submission process. - Work with the Leadership team to implement best practices and enhance efficiency. - Execute additional duties as assigned, demonstrating diligence and meticulous attention to detail. Qualifications - Associate’s degree in health information management, Medical Billing, or a related field is preferred. - Minimum of two to four years of experience in medical records management, billing, or a related role, with a focus on third-party billing and insurance claims submission. - Strong understanding of medical records documentation, insurance billing processes, and regulatory compliance, including HIPAA. - Excellent organizational, communication, and problem-solving skills, with attention to detail and the ability to manage multiple tasks simultaneously. - Proficiency in electronic health records (EHR) systems and billing software. - Ability to function well in a fast-paced and at times stressful environment. - Prolonged periods of sitting at a desk and working at a computer. - Ability to lift and carry items weighing up to 10 pounds at times. Benefits - Be part of something special! We are growing both organically and through acquisitions. - Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way! - Ongoing training and development programs. - An environment that values transparency. - This is a full-time, non-exempt position reporting to the Payer Relations Manager. - The compensation range for this position is $20 - $26 per hour. - Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. - The expected salary range for this position reflects these considerations and may vary accordingly. - In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. - We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

Role Description Join our innovative healthcare team as a Medical Cannabis Provider—NP (Nurse Practitioner) and play a vital role in delivering compassionate, patient-centered care focused on medical cannabis therapies. This dynamic position offers an exciting opportunity to utilize your clinical expertise in a growing field, helping patients improve their quality of life through tailored treatment plans. As a key member of our multidisciplinary team, you will: - Assess patient needs - Develop individualized treatment strategies - Ensure compliance with state regulations We are committed to fostering a supportive environment where your skills make a meaningful difference in patients' lives. As a national company with offices in Utah, Maryland, and Mississippi, we also offer telemedicine services in 30 other states. We take pride in being the leading provider of medical marijuana evaluations, having served over 100,000 patients to date. Qualifications - Valid Nurse Practitioner (NP) license to practice in Mississippi - Preferably already Cannabis certified in Mississippi - DEA (Drug Enforcement Administration) and Controlled Substance License - Comfortable using technology, specifically our in-house EMR system (training will be provided) Requirements - Support patients in incorporating medical marijuana into their treatment plans - Conduct thorough assessments of patients for the medical cannabis program - Maintain precise and up-to-date notes and medical records using our electronic medical records (EMR) system Benefits - Join us in our mission to improve the lives of thousands of patients - Make a significant difference in the lives of residents seeking natural relief through medical marijuana - Engage in fast-paced and enjoyable patient encounters - Enjoy the flexibility of setting your own hours - Flexible schedule Company Description Join our team and contribute to enhancing the lives of thousands of patients through the Mississippi Medical Cannabis Program. Apply now to make a meaningful difference!

• Serve as the Physician match reviewer in Imaging cases • Discuss determinations (peer to peer phone calls) with requesting physicians or ordering providers • Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process • Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner • May assist the Senior Medical Director in research activities/questions related to the Utilization Management process • Participates in on-going training per inter-rater reliability process.

• Determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. • Influence departmental strategy, leading and overseeing a team of physicians ensuring efficient management and adherence to quality standards. • Report into the Senior Medical Director. • Provide timely medical reviews that meet Oscar's stringent quality parameters. • Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen. • Clearly and accurately document all communication and decision-making in Oscar workflow tools. • Use correct templates for documenting decisions during case review. • Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions. • Manage direct reports and oversee their performance. • Provide oversight to ensure the team meets turn-around times for clinical reviews. • Collaborate with other departments on Utilization Management Operations. • Lead key projects and drive initiatives to successful completion.