Role Description The Patient Access Representative – Notification of Admission Specialist supports Guidehouse’s healthcare revenue cycle operations by completing accurate, timely payer notifications for inpatient and observation admissions. This role helps protect reimbursement, reduce avoidable authorization and notification-related denials, and support consistent performance across client revenue cycle operations. This position works in a 100% remote environment. - Reviewing daily inpatient and observation admission reports to identify accounts requiring payer notification. - Submitting “Notification of Admission” requests to commercial, Medicare Advantage, Medicaid Managed Care, and other third-party payers in accordance with payer, regulatory, contractual, and client-specific requirements. - Verifying coverage, eligibility, and account information prior to submission to support clean, accurate notifications. - Documenting confirmation numbers, reference numbers, payer responses, and related communications in designated client and Guidehouse systems. - Monitoring pending notifications, follow up on outstanding requests, and resolve issues within required timelines. - Escalating accounts at risk for missed notification deadlines, authorization-related denials, or reimbursement impact. - Collaborating with Utilization Review, Case Management, and other operational teams to obtain supporting clinical or account information as needed. - Maintaining current working knowledge of payer-specific notification requirements, client workflows, and standard operating procedures. - Identifying trends contributing to notification delays, defects, or denials and communicate improvement opportunities to leadership. - Supporting quality assurance reviews, reporting activities, training reinforcement, and continuous performance improvement initiatives. - Meeting or exceeding productivity, quality, timeliness, and service level expectations established by Guidehouse and client organizations. Qualifications - High School Diploma or GED OR 3 years of Relevant Equivalent Experience in Lieu of Education. - 1+ years of experience in healthcare revenue cycle, patient access, insurance verification, authorization, utilization review support, or related healthcare operations. - Working knowledge of commercial, Medicare, Medicaid, and managed care payer requirements. - Working knowledge of hospital inpatient and observation workflows. - Professional experience documenting payer interactions and account activities clear and concisely. - Proficiency with Microsoft Office applications, including Excel and Outlook. Requirements - Experience performing Notification of Admission, prior authorization, utilization management support, or payer notification activities. - Experience working in hospital electronic medical record systems, including Epic and/or Meditech. - Experience supporting healthcare managed services, revenue cycle operations, patient access, insurance verification, or authorization services. - Knowledge of denial prevention, payer escalation, notification compliance, and standard work discipline. - Experience working independently and maintaining productivity in a hybrid or remote work environment (specifically a healthcare services environment). - Associate degree or higher in Healthcare Administration, Business Administration, or a related field. Benefits - Medical, Rx, Dental & Vision Insurance - Personal and Family Sick Time & Company Paid Holidays - Position may be eligible for a discretionary variable incentive bonus - Parental Leave - 401(k) Retirement Plan - Basic Life & Supplemental Life - Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts - Short-Term & Long-Term Disability - Tuition Reimbursement, Personal Development & Learning Opportunities - Skills Development & Certifications - Employee Referral Program - Corporate Sponsored Events & Community Outreach - Emergency Back-Up Childcare Program

Role Description The Contact Specialist role is a part of the Physicians Services, Enterprise Contact Center within Bon Secours Mercy Health. Under the leadership of the Enterprise Contact Center Team, the Patient Engagement Specialist role is responsible for providing exceptional customer service while scheduling patients. This role is critical to the organizational success of providing a white glove patient experience with patient safety being a priority. - Primarily supports inquiries for: registration, general information, clinical connection, work queue and messaging. - Acts as first point of contact for inbound and outbound patient care inquiries and requests by omni-channel center. - Leverages CRM to perform front-line customer support and resolves most issues and utilizes critical thinking to determine what customer inquiries require. - Organizes work/resources to accomplish objectives. - Participates in Peer mentor/mentee program. - Proactively communicates issues or potential issues involving patient care and process improvement opportunities to your supervisor. - Demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information. - Meets productivity requirements to ensure excellent care is provided to patients. - Maintains stable performance under pressure and handles stress in ways to maintain relationships with patients and co-workers. - Maintain satisfactory attendance and punctuality as set forth by BSMH and department policies. - Must be able to work with minimal supervision. Qualifications - High School Diploma or GED. College experience preferred. - 1-2 years of customer service experience required. - Contact Center experience preferred. - Medical terminology preferred. - Critical Thinking and problem-solving skills required. - Active listening skills required. - Prior healthcare experience preferred. - Medical insurance experience is a plus. - Solid computer knowledge and skills, including the ability to navigate complex systems and ability to troubleshoot is required. - Ability to multi-task required. - Excellent written and verbal communication skills, including spelling and grammar required. - Previous experience using EPIC, Salesforce or other customer relationship management software preferred. Benefits - Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible). - Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts. - Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders. - Tuition assistance, professional development and continuing education support. - Benefits may vary based on the market and employment status.

Role Description The Scheduling Specialist provides outreach and support to ensure all our eligible members have access to the care they deserve around our available Clinical/Patient Programs. Assists in navigating our members through the different programs they may be eligible and assists in scheduling them for what best suits their needs. Navigates with our members every step of the way to ensure they are never alone in their healthcare journey. Utilizes excellent customer service measures and understands the meaningful contribution the team makes to our members’ healthcare outcomes. Job Duties/Responsibilities: - Serves as a “subject matter expert” in the clinical programs that our members may be eligible for, including procedures, scheduling for Health Assessments, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries. - Conducts member outreach phone calls and/or receives inbound phone calls within the department’s goal timeframe; manages to the member’s communication preferences as possible, which may include time of day, channel, and language; utilizes interpreter service as needed. - Collaborates with partners – including but not limited to other departments, Member Services, and Clinical Departments – to facilitate the member experience. - Identifies members targeted for care gaps and other campaigns, and connects members to programs or services when appropriate; analyzes available programs, determines program eligibility, and connects member to appropriate provider or vendor. - Responsible for real-time documentation and timely wrap-up to support outcomes reporting in all systems/applications as required; must enter member demographics and information with accuracy and attention to detail. - Responsible for meeting or exceeding individual and team goals, and for submitting activity reports in the format and frequency required. - Excels in customer service and contributes to a culture of going “above and beyond” to ensure the highest level of member satisfaction. - Other duties as assigned. Qualifications - Required: Minimum 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations. - Preferred: Experience in Clinical setting in managing provider schedules. Experience helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits. Call Center experience in welcome/onboarding, appointment scheduling, retention, sales, or other health care/health plan related programs; and/or inbound call center experience that indicates a higher level of problem-solving such as escalation or resolution. Requirements - Required: High School Diploma or GED. - Preferred: College courses. Specialized Skills - Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. - Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors. - Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. - Mathematical Skills: Ability to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s. Ability to perform these operations using units of American money and weight measurement, volume, and distance. - Reasoning Skills: Ability to apply common sense understanding to carry out detailed, but un-involved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. - Computer Skills: Strong computer skills. Typing 40+ words per minute. - Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. - Preferred: Bilingual English/Spanish, or Vietnamese, Chinese (Mandarin), Korean. Other - Required: Must be available to work full-time and over-time through the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar). Essential Physical Functions - While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. - The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range $41,600.00 - $57,600.00. Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Equal Opportunity Statement Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. Disclaimer Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/ . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com .

Role Description Responsible for ensuring a smooth and efficient patient check-in and discharge process by providing excellent customer service, collecting patient information, verifying insurance coverage, explaining policies & procedures, and handling patient questions. - Greet patients in a professional and friendly manner - Collect and verify patient demographic and insurance information, as well as enter information into systems - Schedule appointments and confirm patient information - Explain insurance and billing policies/procedures to patients - Process payments and provide receipts - Obtain pre-authorization for procedures as needed - Handle patient questions, concerns and issues, while escalating any complex or difficult situations to patient access senior staff or manager Qualifications - High School Diploma or Equivalent required - Admitting, scheduling, registration, or insurance verification experience 1-2 years preferred - Knowledge of medical terminology and insurance verification procedures preferred - Ability to work in a fast-paced environment and handle multiple tasks - Excellent communication and interpersonal skills - Strong attention to detail and problem-solving abilities - Basic computer proficiency Requirements - M-F, schedule ranges between 9AM - 6PM EST hours - A quiet, secure, stable, HIPAA-compliant workstation is required - Remote - Work Location: 399 Revolution Drive - Scheduled Weekly Hours: 40 - Employee Type: Regular - Work Shift: Day (United States of America) - Pay Range: $17.71 - $25.28/Hourly - Grade: 2 Benefits At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. EEO Statement Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Company Description Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.