Title: Medicare Specialist Location: United States Job Description: Parallon MSC schedule Full-time • Work From Home business_center Finance Accounting Billing Claims and Revenue find_in_page Job ID: 4469884 Introduction This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). Do you want to join an organization that invests in you as a Medicare Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: - Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. - Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. - Free counseling services and resources for emotional, physical and financial wellbeing - 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) - Employee Stock Purchase Plan with 10% off HCA Healthcare stock - Family support through fertility and family building benefits with Progyny and adoption assistance. - Referral services for child, elder and pet care, home and auto repair, event planning and more - Consumer discounts through Abenity and Consumer Discounts - Retirement readiness, rollover assistance services and preferred banking partnerships - Education assistance (tuition, student loan, certification support, dependent scholarships) - Colleague recognition program - Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) - Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Medicare Specialist like you to be a part of our team. Job Summary and Qualifications The Medicare Specialist will be responsible for all aspects of Medicare receivable processing, including but not limited to, billing collections, account and system maintenance, process reconciliation and productivity reporting. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. What you will do in this role: - Reviews all claims for completeness, reasonableness of charges and appropriateness of billing codes and payer information - Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer - Reviews, makes corrections to and ensures the legibility of outgoing secondary bills and other correspondence before sending - Contacts and effectively communicates with all parties involved in the resolution of accounts placed - Performs all tasks necessary to maintain current and accurate account information in each of the appropriate systems - Escalate problems and account issues to immediate supervisor daily What qualifications you will need: - Minimum of 2 years Medicare claim process experience Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Medicare Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Analyze accounting records to determine financial status of establishment and prepares financial reports concerning operating procedures. Inspect items in books of original entry to determine if accepted accounting procedure was followed in....

Role Description FutureSight is seeking a Co-Founder & CEO to lead Clairo, an AI-native clinical documentation compliance venture currently in build at our studio. This is a co-founder partnership with meaningful founder equity, not a salaried executive role. Clairo AI audits 100% of healthcare charts in real-time, catches payer-specific gaps before they hit billing, and eliminates the manual QA overhead that costs organizations millions in denials and clawbacks every year. Currently, manual QA teams consume 25%+ of operational labour budgets, yet audit only about 10% of patient charts, leaving organizations massively exposed. Market Context - Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted. - Massive Financial Pain: Buyers cited chronic, aggressive payer audits happening weekly or monthly, with single audit events causing catastrophic losses ranging from $150,000 to $850,000. - Budget is NOT the Blocker: Buyers explicitly stated that if the tool integrates cleanly with their EHR and meets a high accuracy bar, securing the budget is not a problem. We are targeting a large, highly fragmented market where revenue cycle teams are increasingly struggling to manage denials at scale. The total addressable market is estimated at $4.0B–$6.0B+, spanning more than 20,000 organizations, including multispecialty groups, behavioural health providers, and health systems. The ROI case is compelling: at current price points, the software can quickly pay for itself by reducing manual auditing labour by an estimated 80–85% while also preventing clawbacks that translate into millions in avoided losses. Partnership - Founder equity with meaningful ownership from inception - Pre-seed capital committed by FutureSight for early hires and MVP development, with potential for follow-on funding - Studio resources, including embedded design, engineering, growth, and fundraising support from day one - Investor and advisor network across healthtech and early-stage capital markets - A true co-creation model in which you operate as CEO with the studio as your partner What You’ll Own - Strategy — Refine the ICP, pricing model, and product positioning - Customer Development — Lead pilots with compliance and revenue cycle leaders, convert them to paid engagements, and build the go-to-market motion - Product — Partner with the FutureSight product and engineering team to ship V1 and iterate on user feedback - Capital — Lead the seed raise, supported by FutureSight's network and traction - Team — Recruit and lead the founding team, and establish the cultural foundation of the company Co-Founder Profile - Previous founding experience at a venture-backed company - Demonstrated success in B2B SaaS go-to-market, including sales and customer engagement - Fundraising fluency, with the ability to develop investor narratives and close capital - Proven ability to attract, develop, and retain top talent - Clear-eyed understanding of the risks and demands of co-founding a venture-backed company - RCM Domain & Workflow Depth: Deep, operational exposure to healthcare revenue cycle, medical billing, or denial management. - You must intuitively understand the operational differences between clinical/coding denials and administrative roadblocks. - You are familiar with the fragmented realities of smaller EHR/PM systems and the "band-aid" tech stacks billers use to survive. How to Apply Please submit your resume, LinkedIn profile, and a brief note on why this venture aligns with your goals as a founder. We will move quickly for the right candidate. FutureSight is committed to diversity, equity, and inclusion. We welcome applicants of all backgrounds and experiences.

Role Description The Trade Compliance and Logistics Manager is responsible for leading and managing the company’s U.S. import and export compliance program while supporting global logistics operations across a multi-country manufacturing footprint. This role serves as the U.S. trade compliance owner and partners closely with manufacturing and logistics teams internationally to ensure compliance with applicable trade regulations and consistent execution of cross-border processes. West Coast candidates preferred! Essential Duties and Responsibilities - Trade Compliance Program Leadership - Develop, implement, and maintain the company’s U.S. trade compliance program, including policies, procedures, and internal controls. - Partner with senior leadership and business partners to align trade compliance strategy with business objectives. - Evaluate compliance maturity across global sites and implement improvement plans. - Ensure consistent application of trade compliance standards across all operations. - Ensure strong utilization of SAP and trade compliance related master data accuracy. - U.S. Import Compliance - Ensure compliance with U.S. Customs regulations (CBP) for all imports. - Oversee: - US HTS classification. - US customs valuation (including transfer pricing / computed value considerations). - Country of origin determination. - Temporary Import Bonds (TIBs) program management. - Foreign Trade Zone (FTZ) administration and compliance. - Manage and optimize duty exposure, including Section 301/232/122 and other impacts. - Ensure accurate and complete entry documentation through customs brokers (owner of brokers letter of instruction and other documentation). - Lead responses to CBP and FDA import inquiries (CF-28, CF-29), audits, and reviews. - U.S. Export Compliance - Ensure compliance with Export Administration Regulations (EAR) and applicable export controls. - Oversee: - Export classifications (ECCN where applicable). - Denied/restricted party screening. - Export documentation and recordkeeping. - Manage export licensing requirements where applicable. - Provide guidance on OFAC and other regulatory requirements. - Free Trade Agreements & Duty Optimization - Own USMCA qualification and certification processes, including supplier solicitations and documentation. - Identify and implement duty savings opportunities (FTA, valuation strategies, drawback where applicable, etc.). - Ensure audit-ready documentation and compliance with all FTA requirements. - Global Logistics & Operations Support - Partner with global sites (Mexico, China, Vietnam, Hong Kong, etc.) to ensure compliant import/export execution. - Support cross-border manufacturing flows, including maquiladora / IMMEX operations. - Collaborate with freight forwarders, customs brokers and freight carriers to ensure service, compliance, and cost efficiency. - Standardize logistics and documentation practices across regions. - Risk Management, Audits & Governance - Conduct internal trade compliance audits and self-assessments. - Investigate potential non-compliance issues and lead corrective actions. - Prepare voluntary disclosures in coordination with leadership and external advisors when needed. - Maintain proper record retention in accordance with regulatory requirements. - Training & Cross-Functional Support - Develop and deliver trade compliance training across functions. - Act as a subject matter expert to support: - New product introductions (NPI). - New sourcing strategies. - Cross-border operational changes. - Leverage value chain and tariff engineering strategies to accelerate NPD/NPI efforts. - Promote a culture of compliance and continuous improvement. - Continuous Improvement - Identify opportunities to improve processes, automation, and data accuracy (ERP / SAP). - Drive standardization of trade-related master data (HTS, COO, valuation inputs). - Improve coordination between finance, supply chain, and logistics for trade-related decisions. - Drive cost savings and lane optimization initiatives across the transportation network to improve service levels and reduce overall logistics spend. Qualifications - Bachelor’s degree in Supply Chain, International Business, Finance, or related field. - 7+ years of experience in U.S. import/export compliance within a manufacturing environment. - Strong experience with: - U.S. Customs regulations and import processes. - HTS classification, valuation, and origin. - Export controls (EAR, OFAC). - Free trade agreements and value chain optimization programs. - Experience supporting international manufacturing and cross-border supply chains. - Customs Broker License (CCL) or equivalent certification. - US person mandatory due to nature of job function and access to controlled information. - Strong Microsoft Excel, Word and PowerPoint skills. - Experience with SAP and GTS highly desirable. Requirements - Strong writing, communication, training, and research skills with attention to detail. - Ability to work independently with general guidance and as a team player. - Strong organizational skills and ability to establish priorities among a wide array of projects. - Sound judgment, professional demeanor, good work ethic and business acumen. - Bias for problem solving when encountering obstacles. - Continuous improvement mindset and works well cross functionally. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel; reach with hands and arms; talk and/or hear. - The employee frequently is required to sit. - The employee is occasionally required to stand and walk. - The employee must occasionally lift and/or move up to 25 pounds. - Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Work Environment Work is performed in a normal office environment with minimal physical risks involved. The noise level is usually low to moderate. Occasionally the job may require that you enter the production area, which you will need to maintain OSHA safety standards. Travel The Trade Compliance and Logistics Manager will be required to travel approximately 10% of their time, as needs of the business dictate. The ability to travel internationally is a requirement.