• Evaluate lending scenarios and manage lender relationships • Drive applications through the pipeline and ensure no opportunities or client matters lose momentum • Assess and evaluate residential and/or commercial lending scenarios, borrower financials, serviceability, and creditworthiness • Take ownership of the mortgage process from enquiry through settlement and manage active deals • Communicate professionally with clients, lenders, brokers, and partners while maintaining oversight of multiple active files • Train, mentor, and oversee administrative support staff and support improvements to SOPs and workflows

• Conduct routine chart audits to ensure accuracy, completeness, and compliance • Identify documentation gaps and support quality improvement efforts • Provide feedback on clinical notes and support documentation standardization • Manage day-to-day compliance inquiries and follow-ups with office teams • Track key compliance processes (e.g., waterline testing, spore testing, audit logs) • Maintain audit trackers and monitor trends across practices • Partner with Clinical Support, Operations, and RCM to resolve issues and ensure alignment

Role Description Performs tasks of moderate to difficult complexity relating to physician and hospital accounts. Responsible for data analysis and interpretation throughout all functions of revenue cycle, analysis of aged accounts including remittances to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and/or patient credits to include analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles. - All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. - Analyzes insurance and/or patient credit balances to determine root cause, takes action to resolve account. - Contacts payer and makes hard inquiries on account status. Escalates problem account. - Documents billing activity on the patient accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. - Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for further analysis. - Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. - Participates in general or special assignments and attends all required training. - Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. - Performs other duties as assigned. Qualifications - Education - High School diploma or equivalent OR post-high school diploma / highest degree earned - Experience - Two (2) years billing, bookkeeping, accounting experience Requirements - Knowledgeable of the job functions required for a Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Work Shift - Day (United States of America) Location - Colonial Life Building Facility - 7001 Corporate Department - 70019935 System Billing Office Company Description Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Role Description Administer Microsoft Windows Servers (Active Directory). - Resolve technical problems related to application deployments and infrastructure, including server troubleshooting. - Manage and work ticket queues in ServiceNow. - Provide 2nd level support for Active Directory Services, client IT, and telecommunications. - Support most USDA Business website applications. - Provide some training to end users on new and updated systems and software. - Work with civilian customers as well as Federal employees to troubleshoot issues with websites. - Perform user account maintenance tasks, archiving defunct credentials, and monitoring login systems for suspicious trends. - Perform troubleshooting, maintenance, and optimization of software applications. - Provide training to clients in the use of web-based systems and applications. Working Hours for this position will be Mon-Fri, 10:00 AM ET – 6:30 PM ET. The candidate will need to be available for training conducted during regular business hours (10:00 AM - 6:30 PM EST) for the first few weeks in the position. Qualifications - High School Diploma required. - Minimum THREE (3) years of prior relevant experience. - Prior experience with ServiceNow ticketing. - Minimum TWO (2) years of experience in hands-on IT customer service with supporting, troubleshooting, and testing Windows systems in an Active Directory environment, including group policy and group policy preferences design and troubleshooting. - Experience with helpdesk support. - Strong analytical skills and attention to detail. - Excellent written and verbal communication skills to communicate with key stakeholders, process owners, and customers to manage expectations, eliminate gaps, and ensure success. - U.S. Citizen or Green Card is required for the position. - Must be able to obtain and maintain a Federal or DoD "PUBLIC TRUST"; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse. Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred. Requirements - Some Linux server experience. - ITIL v4 preferred. Benefits - Medical, Rx, Dental & Vision Insurance. - Personal and Family Sick Time & Company Paid Holidays. - Parental Leave. - 401(k) Retirement Plan. - Group Term Life and Travel Assistance. - Voluntary Life and AD&D Insurance. - Health Savings Account, Health Care & Dependent Care Flexible Spending Accounts. - Transit and Parking Commuter Benefits. - Short-Term & Long-Term Disability. - Tuition Reimbursement, Personal Development, Certifications & Learning Opportunities. - Employee Referral Program. - Corporate Sponsored Events & Community Outreach. - Care.com annual membership. - Employee Assistance Program. - Supplemental Benefits via Corestream (Critical Care, Hospital Indemnity, Accident Insurance, Legal Assistance, and ID theft protection, etc.). - Position may be eligible for a discretionary variable incentive bonus.