• Responsible for day-to-day supervisory oversight and operational execution of technical and coding denial management functions within the Revenue Cycle department. • Lead a team of denial specialists and coordinators focused on resolving technical and coding-related claim denials across all payer types, facilities, and service lines. • Manage daily denial work queues for technical and coding denial categories, ensuring cases are assigned, prioritized by financial impact and deadline risk, and resolved within payer-required timelines. • Monitor team workload, capacity, and throughput on a daily and weekly basis; adjust case assignments and staffing allocation to prevent missed filing deadlines. • Serve as the first-line escalation point for complex technical and coding denial cases that require manager-level review, payer contact, or cross-functional coordination. • Track and report weekly team performance to the Director including denial volumes, appeal activity, resolution rates, write-off risk, and aging by payer, denial code, and category. • Identify systemic denial patterns or payer behavior trends in the queue and escalate to the Director with root cause analysis and recommended corrective actions. • Oversee resolution of technical denials including timely filing, prior authorization, eligibility, coordination of benefits, duplicate billing, medical records requests, and credentialing-related claim rejections. • Review and approve appeal submissions for high-dollar or complex technical denials prior to filing, ensuring accuracy, completeness, and appropriate supporting documentation. • Partner with Patient Access, Provider Enrollment, Utilization Management, and Billing to trace technical denial root causes back to the point of origin and drive sustainable upstream corrections. • Conduct structured root cause analyses on high-volume technical and coding denial categories; present findings and corrective action plans to the Director with supporting denial data.

• Monitor, support, and troubleshoot production schedules and workflow for mainframe and open systems environments, using automated monitoring tools to identify failures, degradation, and late dependency events • Triage problems and take corrective action to ensure availability and minimize downtime • Follow and contribute to standard operating procedures, recommending improvements to increase operational efficiency and customer service • Develop a thorough understanding of production schedules, job flows, and service level deadlines • Resolve moderately complex processing issues and delays • Complete checklists and turnover logs for audit compliance • Assist with troubleshooting Remote File and Data Transmission delivery issues • Analyze recurring problems and present improvement recommendations to senior technicians or management • Assist in maintaining technical documentation and SOPs • Provide daily support to end users and programming groups • Collaborate with senior staff on work assignments as needed

Role Description The Senior Coordinator of National Operations at Chamberlain University plays a crucial role in managing business process improvements, operational logistics and coordination, and providing comprehensive operational and administrative support across the university. This position facilitates seamless communication to a wide range of internal and external contacts, actively anticipates and resolves operational problems for improved efficiency and completes quality evaluations for all programs to assist in mitigating risk. Collaboratively works with leadership in all functional units for growth and transformation of the university, including the establishment of new locations and the relocation of existing ones. As a key member of the National Academic Operations team, the Senior Coordinator is instrumental in driving the successful execution of the university's strategic initiatives. - Coordinates and maintains exams and related processes in all required systems including scheduling, accommodations, announcements, incident reporting, etc. - Supports student technical or other issues during exams and coordinates with other departments as needed. - Coordinates, and has direct responsibility for and oversight of a project or specific set of operational activities, for the department and/or University programs and locations. - Actively seeks process improvements that result in greater efficiency, productivity, or applicant/student satisfaction for more scalable operations. - Develop and maintain positive, professional relationships serving as the liaison to vendors and internal supply chain management/contracts team members. - Partners and collaborates with program/location leadership to provide comprehensive support for and to address academic and/or operational needs. - Coordinates and supports capital authorization expenditures for the University procuring equipment, supplies, and resources to support colleagues and students across the University. - Prepares, maintains, and reviews complex documents (such as presentation preparation and facilitation, reports, financial/budget, invoices, purchase orders, meeting minutes, recordings, calendar management for department/processes, etc.) to assure compliance with university requirements and/or government regulations, and notifies supervisor of unusual situations. - Serves as the principal source of information on established policies/procedures through the creation, collaboration, development and maintenance of policies, standard operating procedures, job aids, and supporting resources for the department and the University Policy Central. - Tracks and completes work on time with accuracy, quality control and provides assurances to identify and develop resources to enhance workflow efficiency. - Maximize productivity using various software applications and identifying new sources of technology for operational improvements. - Build sustainable relationships and trust with internal and external customers through open and interactive communication while using discretion when managing difficult situations and notifies supervisor of any escalated situations. - Uphold Chamberlain CARE© and Covista values in all tasks. - Travel up to 10% to support new and relocated university locations. - Performs other duties as assigned. - Complies with all policies and standards. Qualifications - High School Diploma Required and Bachelor's Degree in Operations, business, organizational management, project management or other related field. Preferred. - 3+ years previous experience in office management with preferred experience in operations or project management. Preferred. - Proficient in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint). - Problem-solving, analytical skills and the ability to balance multiple tasks simultaneously are essential. - Good organizational, interpersonal and communication skills are required. - Attention to detail and mental concentration are necessary for accurately performing tasks. - Experience or exposure to Customer Relationship Management System (Salesforce), Assessment software systems (ATI, ProctorU, Examity/ExamSoft), and Learning Management Systems (Canvas, Brightspace, etc.). - Must be able to occasionally lift and carry or otherwise move 25 pounds. Benefits - Health, dental, vision, life and disability insurance. - 401k Retirement Program + 6% employer match. - 15 Days of Paid Vacation Days each Calendar Year. - 12 Paid Holidays + 2 floating holidays. Additional Information In support of the pay transparency laws enacted across the country, the expected salary range for this position is between $18.7 and $33.84. Actual pay will be adjusted based on job-related factors permitted by law, such as experience and training; geographic location; licensure and certifications; market factors; departmental budgets; and responsibility. Our Talent Acquisition Team will be happy to answer any questions you may have, and we look forward to learning more about your salary requirements. The position qualifies for the below benefits.

Role Description This is an investigative operations role. Day to day, you’ll diagnose problems, find root causes, spot patterns in data, and improve how things work — with some direct client contact. We’re hiring for a way of thinking, not for years on a résumé. - Investigate operational problems: ask why something happened, what’s missing, what to look at first - Analyze trends, metrics, and patterns — and turn them into clear recommendations - Own and improve documentation, SOPs, and processes - Support and onboard clients on our software platform (part of the role, not the whole job) - Coordinate across internal teams to resolve escalations Qualifications - 2+ years in a thinking-heavy role — your main job was investigating, analyzing, auditing, or improving, not pure execution - Demonstrated experience with root-cause analysis, trend/KPI analysis, QA, or process improvement - Strong spoken and written English — you’ll explain findings clearly to clients and internal teams over chat, email, and calls - Structured problem-solver: you investigate before jumping to solutions - Comfortable working through ambiguity and learning a software platform deeply - Based in the Philippines; available to work US Central Time hours Requirements - You’re likely a strong fit if you’ve worked as: - A KYC, AML, fraud, risk, compliance, or quality analyst - An operations, reporting, workforce, or process-improvement analyst - In any role where you were paid to investigate, audit, diagnose, analyze, or improve — not just execute tasks - If your background is customer success, training, or support, you may still fit only if you owned investigations, trend analysis, escalations, QA/compliance, or process improvement. Benefits - 100% remote / home-based work - Monthly salary: PHP 40,000 – 45,000 - Collaborative and supportive team