Title: Part Time Hybrid Health Information Specialist I Location: Danville United States Job Description: Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. Hybrid| Danville, KY | Part-Time Position Overview We are seeking a Health Information Specialist to support front desk operations and Release of Information (ROI) services at two healthcare locations in Danville, KY.This is a hybrid role, combining on-site, patient-facing responsibilities with remote work as business needs allow. This role plays a critical part in ensuring the timely, accurate, and compliant handling of medical record requests. It is ideal for someone who enjoys working directly with patients, is detail-oriented, and is interested in long-term growth within a healthcare organization. Key Responsibilities Responsibilities include, but are not limited to: - Serve as the front desk point of contact for patient walk-ins requesting medical records or releases - Provide phone support to patients, providers, and authorized requestors - Process Release of Information (ROI) requests accurately and timely - Fax, scan, and manage incoming and outgoing medical record requests - Burn medical images to CDs and share images electronically as required - Support client relationship management through professional communication - Assist with reporting and administrative duties such as data entry and email - Ensure compliance with HIPAA, privacy regulations, and facility policies Travel / Site Coverage Requirements This is a hybrid role supporting two sites. The specialist will: - Be onsite 2 days per week for mail sorting and loading of requests - Work within the HIM departments at both facilities Training & Onboarding - VROI training provided - On-the-job, onsite training during the first 30 days Skills - Strong customer service and communication skills - Comfortable working in a patient-facing, front desk environment - Detail-oriented with the ability to manage confidential information - Reliable, punctual, and professional - Ability to multitask and work independently Qualifications - High School Diploma or GED required - Must be 18 years of age or older To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Title: Denial Prevention Specialist Location: Weatherford United States Job Description: Remote (must be located in DFW) 6-month contract + extension $18-$20/hr This is primarily a remote position, however there are times the employee might have to come into the office for training, team building events or as requested by their supervisor or manager. JOB SUMMARY The successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections. A successful candidate should have, but not be limited to the following skills: - Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed. - Contacting insurance carriers to check on the status of claims, appeals, and insurance verification. - Knowledgeable with payors including Managed Care, Commercial, Medicare, and Medicaid - Preparing/Submitting appeals related to denied services This is a work from home (WFH) opportunity. The successful applicant must live within the Greater DFW area and be available to come to the office for equipment pickup, office meetings, and training. Additional details regarding WFH will be discussed as part of the interview process. ESSENTIAL FUNCTIONS Job Duties - Analyze payer denials by denial groupers and submit appeals. - Contact patients and/or third party payers to resolve outstanding insurance balances and underpaid claims. - Make necessary adjustments as required by plan reimbursement. - Functions as a liaison between clinical departments and MSRDP management team. - Completes special projects as assigned. - Performs other duties as assigned. QUALIFICATIONS 2 years experience in medical claims recovery and/or collections required Knowledge, Skills and Abilities - Work requires a self-starter, with ability to work well as part of a team and independently. - Work requires ability to communicate effectively with patients, insurance companies, clinical staff and management. - Work requires ability to handle large volumes of work. - Work requires ability to work in a fast paced, production oriented environment. - Work requires excellent customer service skills. - Work requires experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment. - Work requires good organizational, flexibility and analytical skills when resolving more complex unpaid claims. - Work requires knowledge of billing and/or collections and regulations. - Work requires knowledge of CMS 1500, ICD-9, and CPT coding is preferred. - Work requires one to exhibit excellent work ethics and commitment to job responsibilities. - Work requires one to possess a professional and courteous demeanor while being assertive and confident in their collection efforts. - Work requires one to possess quick and accurate alpha/numeric data entry skills. - Work requires presence of a positive image that reflects well on the organization. - Work requires strong written and verbal communication skills. - Work requires understanding of the requirements of Medicaid, Medicare and insurance billing. Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico. Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide. Employee Type: Contract Location: Weatherford, TX, US Pay Range: $18 - $20 per hour

Remote Billing Specialist Location: Lincoln, NE Job Description: Remote Billing Specialist TELCOR Revenue Cycle Services (RCS) is a billing service designed to manage the unique nuances of laboratory billing by using TELCOR's industry-leading RCM SaaS solution to provide the highest returns for our customers. We are searching for a talented and engaged remote billing professional to join our team and provide operational revenue cycle tasks for RCS customers. This includes but is not limited to working payer denials and appeals by performing analysis and investigation of individual scenarios while identifying trends within current worklists or across future/past worklists in order to continuously improve quality and efficiency for customer outcomes, as well as RCS success. The Billing Specialist will also follow-up on unpaid balances to obtain payment and determine when to bill a patient and when to assign work back to the customer to review. Employees in this position will work remotely, unless the employee prefers to work in the office. In that case, accommodations may be able to be made depending on space availability in the Lincoln, NE office. Copy and paste the following link into your browser to learn more about TELCOR and what it means for TELCOR to be a certified Great Place To Work®: https://www.greatplacetowork.com/certified-company/7054288 Requirements of the Remote Billing Specialist Position - Must be able to uphold confidentiality and comply with federal, state and company policy/procedures - Ability to meet performance expectations set forth by supervisors and leadership team - Ability to effectively and professionally communicate, both in writing and verbally with tact, diplomacy and respect for others - Must be able to work independently and within a team to achieve individual and team goals - Must have strong computer skills and be able to leverage and navigate using technology to complete daily tasks (e.g. Excel, electronic documentation storage and retrieval, keyboarding and mouse navigation, email/outlook) - Self-motivated, analytical, quick learner, organized, detail oriented, multitask, resilient, self-disciplined in time management - Knowledge of payer requirements, clearinghouse portal navigation and appropriate interpretation of information is preferred - Knowledge of CPT, HCPCs modifiers, ICD-10 codes and EOB interpretation is preferred - Minimum of (1) year of medical or healthcare related billing or revenue cycle experience preferred - Must have high school diploma or GED TELCOR is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status, or any other characteristic protected by law. All trademarks, service marks, trade names, trade dress, product names and logos appearing herein are the property of their respective owners. Microsoft, Windows, Crystal Reports and SQL Server are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries.

Role Description We are seeking a detail-oriented Payment Posting / Balancing Specialist with strong experience in healthcare revenue cycle operations. The ideal candidate must be well versed in Explanation of Benefits (EOBs), healthcare provider and insurance payer behaviors, payment balancing, and reconciliation processes. This role is responsible for accurately posting insurance and patient payments, balancing daily deposits, and ensuring accurate accounts receivable records. - Interpret and accurately post data from paper and electronic EOBs into the Revenue Management System (RMS) - Post insurance carrier payments, denials, adjustments, and patient payments with high accuracy - Identify, calculate, and apply contractual adjustments, deductibles, copays, and coinsurance based on payer contracts - Balance daily deposits and cash logs against posting reports and remittance data - Research and resolve discrepancies between billed amounts and payment amounts - Review payer denials and underpayments for accuracy and escalation - Maintain productivity and quality standards in a fast-paced environment - Ensure compliance with HIPAA regulations and confidentiality guidelines while handling PHI - Collaborate with internal billing, collections, and AR teams to resolve payment-related issues Qualifications - Strong experience with Explanation of Benefits (EOBs) - Good understanding of healthcare providers, insurance payer behaviors, and reimbursement methodologies - Hands-on experience in payment posting, balancing, and reconciliation - Knowledge of deductibles, copays, coinsurance, contractual adjustments, and remittance processing - Experience working with paper and electronic remittances (ERA/EFT) - Familiarity with healthcare billing systems/RMS platforms - Strong analytical and problem-solving skills - Excellent attention to detail and accuracy - Understanding of HIPAA compliance and PHI handling Preferred Qualifications - Experience in healthcare revenue cycle management (RCM) - Prior experience in physician billing, hospital billing, or medical claims processing - Knowledge of commercial insurance, Medicare, and Medicaid payment processing Company Description Join our team at MetaRPO and embark on a journey of growth and innovation.