Ensure accurate and timely billing by submitting clean claims, reviewing and resubmitting denied claims, and verifying insurance eligibility. Collaborate with teams to resolve billing issues and maintain detailed accounts receivable reporting.

Provide operational support for federal audits and compliance activities, track auditor requests and documentation, maintain audit logs, and assist in preparing responses to auditor inquiries while ensuring adherence to federal policies.

Title: Quality and Training Analyst - FT - Days - DIO - Hybrid Eligible Location: Hybrid within Florida Work Type: Hybrid, Full Time Salary: JR-20358 Job Description: At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for overseeing the contact center's quality and performance standards, alongside developing, and implementing comprehensive training programs. Understand all aspects of call quality, customer service, and internal and external compliance requirements, to ensure new hire and ongoing curriculum is driving performance and quality. This multifaceted role entails monitoring interactions, analyzing quality trends, and identifying training needs to enhance agent performance. Responsibilities: Provide management with regular agent performance feedback, coaching agents to fill performance gaps found in audits, and advising management for any type of auto-fail call or agent phone behavior that does not support the culture.Serve as a subject matter resource to team members, supervisors, and management staff on quality measures, protocols, and customer service expectations. This role should be adept at taking calls and scheduling patients for all service lines the department handles.Create, maintain, and track reports regarding performance utilizing the Quality Monitoring and Management system. Monitor inbound and outbound calls for measuring service skills, adherence to internal processes and scripting, and quality of customer service provided.Work closely with contact center leadership to identify areas of deficiency and develop training to improve competency, continuing education, and process improvement. Collaborate with applicable business units/areas to establish course specifications, prerequisite skills, and knowledge for trainees, assessing the effectiveness of training and creating action plans for improvement.Assist with the development of quality assurance processes, supporting and suggesting improvements to meet the highest level of patient experience. Conduct evaluations utilizing departmental quality monitoring forms, utilizing Speech Analytics tool, and recorded Omni Channel media for assessment.Use existing training content to coordinate, develop, design, and maintain team and individual training materials for the contact center end-user, ensuring customer satisfaction metrics are met. Stay abreast of trends in adult learning techniques, customer service, and contact center-focused training programs.Analyze and identify quality performance trends at the agent and department levels, including root cause analysis and recommendations for error reduction and process improvement. Prepare and analyze quality reports for management review.Develop training programs designed to give newly hired employees the skills to be successful in the role, including systems, customer service soft skills, and department processes and procedures. Maintain a strong understanding of end-user workflows and Epic application module functionality to teach end-users and ensure proper system usage.Assist management in the formation of department goals. Participate in the development of documents to drive quality improvement, including the design of quality monitoring forms and standards, as well as updating processes, procedures, guidelines, and training materials. Coordinate training materials for end-users for new releases, partnering with the Workforce Management Team to schedule appropriate contact center resources. Competencies: ACCOUNTABILITY, ACCURACY, ANALYSIS AND DECISION MAKING, CONTENT PRESENTATION AND DELIVERY, CUSTOMER SERVICE, HIPAA, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK Education and Certification Requirements: Bachelors: Business Administration (Required) Additional Job Information: Complexity of Work: Requires proficiency in Microsoft Suite, critical thinking, effective communication, decisive judgment, and the ability to be flexible and work independently in a high-pressure, rapidly changing environment. Skilled in building and maintaining positive relationships with staff, offering constructive feedback and coaching for agent success. Specialized knowledge in business operations, including data analysis and solutions implementation to meet organizational goals and quality standards. Strong leadership capabilities, excellent influence skills, and a strategic perspective aimed at fostering collaborative relationships. Required Work Experience: Minimum of three (3) years’ experience in a call center, including classroom training facilitation, instructional design, and application of adult learning methodologies. Proficient in learning management systems and curriculum development. Experience in Quality Assurance, proficient in statistical reporting and analysis using tools such as spreadsheets, graphs, and flowcharts.Degree Equivalency: Associate’s degree plus six (6) years of experience or a High School diploma plus eight (8) years of experience in a call center environment or related experience. Other Information: Epic certification and/or experience preferred. Innovative and strategic management capabilities preferred. Working Conditions and Physical Requirements: - Bending and Stooping = 40% - Climbing = 20% - Keyboard Entry = 60% - Kneeling = 40% - Lifting/Carrying Patients 35 Pounds or Greater = 20% - Lifting or Carrying 0 - 25 lbs Non-Patient = 60% - Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40% - Lifting or Carrying > 75 lbs Non-Patient = 20% - Pushing or Pulling 0 - 25 lbs Non-Patient = 40% - Pushing or Pulling 26 - 75 lbs Non-Patient = 40% - Pushing or Pulling > 75 lbs Non-Patient = 20% - Reaching = 40% - Repetitive Movement Foot/Leg = 0% - Repetitive Movement Hand/Arm = 60% - Running = 0% - Sitting = 60% - Squatting = 40% - Standing = 60% - Walking = 60% - Audible Speech = 60% - Hearing Acuity = 60% - Smelling Acuity = 0% - Taste Discrimination = 0% - Depth Perception = 60% - Distinguish Color = 60% - Seeing - Far = 60% - Seeing - Near = 60% - Bio hazardous Waste = 20% - Biological Hazards - Respiratory = 20% - Biological Hazards - Skin or Ingestion = 20% - Blood and/or Bodily Fluids = 20% - Communicable Diseases and/or Pathogens = 20% - Asbestos = 0% - Cytotoxic Chemicals = 20% - Dust = 60% - Gas/Vapors/Fumes = 20% - Hazardous Chemicals = 20% - Hazardous Medication = 20% - Latex = 20% - Computer Monitor = 60% - Domestic Animals = 20% - Extreme Heat/Cold = 0% - Fire Risk = 0% - Hazardous Noise = 20% - Heating Devices = 0% - Hypoxia = 0% - Laser/High Intensity Lights = 20% - Magnetic Fields = 20% - Moving Mechanical Parts = 20% - Needles/Sharp Objects = 0% - Potential Electric Shock = 20% - Potential for Physical Assault = 0% - Radiation = 20% - Sudden Decompression During Flights = 0% - Unprotected Heights = 0% - Wet or Slippery Surfaces = 20% Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Title: Analista de Novos Negócios Location: Brazil - Sao Paulo - Hybrid Job Description: Your well-being, our mission. Join a company that makes the world a healthier place. GET TO KNOW US We are revolutionizing corporate wellness. Our platform connects employees worldwide with the best partners in exercise, mindfulness, therapy, nutrition, and sleep routines – all in a single subscription. Based in New York and with teams in Europe, North America, and South America, our mission is to make every company a wellness company. We believe that work should be rewarding, inspiring, and balanced. Here, you'll find a team that values ​​well-being, collaboration, and diverse perspectives, in a place where passion and creativity break boundaries to create real impact. Your contributions will help build a healthier world for you and millions of people globally. THE OPPORTUNITY We are hiring a New Business Analyst to join our New Ventures team in São Paulo ! This is not a purely bureaucratic project management or institutional relations role. You will work directly with the leaders responsible for building Wellhub's next revenue streams and business verticals (such as the current nutrition and new channel initiatives). Your challenge will be to act as a true scientist focused on feasibility: mining data, building spreadsheet models from scratch, applying consulting frameworks, and structuring robust business cases to define what we should pursue, how, and why. If you are at the beginning of your career, fascinated by numbers and AI, and want to see your analyses guiding the future of a large wellness company, this is the place for you. YOUR IMPACT - Data Forensics Analysis: Diving into massive databases (running spreadsheets and queries with hundreds of thousands of rows) to audit legacy projects, understand funnel metrics (open rate, conversion, CTR), and identify bottlenecks and opportunities for improvement. - New Business Modeling: Using data, AI, and financial intelligence to assess the viability of new market segments (market sizing, scenarios, and unit economics). - Market Research and Insights: Testing real demand, customer willingness to pay, and operational fit for new products or services. - Strategic Partnership Mapping: Identifying and structuring the ecosystem of ideal partners to unlock new revenue models. - Direct and To-the-Point Communication: Translating mountains of data into clear strategic recommendations, structuring objective presentations (decks) or investment memos for the senior committee and partners. - Live the mission: inspire and empower others by prioritizing your own well-being and that of your colleagues. Create a supportive environment where everyone feels comfortable taking care of themselves and finding a balance between work and personal life. WHO ARE YOU - Aptitude and Interest in Numbers: You are passionate about calculations, spreadsheets, and data. Your standard language for defending any argument or making decisions is numbers. - Problem Solver: Possesses the typical mindset of a strategic consultant. When faced with an abstract or ambiguous problem (e.g., "should we open this new business?"), you know how to break it down into logical parts, estimate assumptions, and dissect the problem to find the answer. - Focused on Execution: You measure yourself by concrete deliverables and insights generated, and you possess a sense of ownership, resilience, and a strong bias towards action. - Digital Fluency and AI: Comfortable with analytical tools (such as advanced spreadsheets, SQL, and practical use/development of Artificial Intelligence agents in everyday work to accelerate your own logic). - Modern Business Framework: Understands (or has a great aptitude for quickly learning) digital business concepts: marketplaces, network effects, unit economics, subscriptions, and partnerships. - Language: English is highly desirable for reading global research and tools. Even if you don't meet 100% of the job requirements, apply! We'd be delighted to receive your application and assess your suitability for our team. Just remember to note that data analysis and insight generation are mandatory requirements for this specific role. WHAT WE OFFER YOU We create a work environment where you can thrive in all dimensions of your life. We do this through thoughtful benefits, resources for emotional well-being, and a culture that empowers each person to truly connect with and own their role here, balancing that with their own well-being. Our flexible benefits program helps you customize them to suit your needs! Our benefits include: WELLHUB: Free Gold+ plan, with access to thousands of gyms and studios, digital fitness programs, and online resources for meditation, nutrition, mental health support, sleep routines, and more. You can also add up to 3 family members to your plan, ensuring that those who matter most to you have access to wellness. WELLZ: A unique and comprehensive resource for mental well-being. Wellz offers personalized journeys that combine weekly cognitive behavioral therapy sessions (52 per year) and on-demand content. HEALTH AND CARE: Health insurance, dental insurance, and life insurance. FLEXIBLE WORK: With a work model that prioritizes flexibility, we offer hybrid and remote positions, giving you the freedom to work in the way that works best for you. The work model for this specific position can be discussed with the recruiter and leadership. When you join Wellhub, you can also use our home office reimbursement to set up your home office! FLEXIBLE SCHEDULE: Flexibility isn't just about where we work – it also includes being able to shape how and when we work. In partnership with their leaders, people define their schedules to align with different time zones, team needs, and personal routines. PAID TIME OFF: Disconnecting and recharging your batteries is very important. That's why we offer vacation after 6 months of work + 3 days off per year + 1 day off for each year of service (totaling up to 5 days) + 1 day off in your birthday month! PAID PAID PARENTAL LEAVE: Welcoming a new member into the family is one of life's most special moments. We want every employee to be truly present and enjoy this time with their family. Therefore, we offer 100% paid parental leave to all new parents. Those who give birth are also entitled to extended leave (Citizen Company) and a ramp-back period, during which they can work part-time until they adjust to the new routine. PROFESSIONAL DEVELOPMENT: Gain access to global learning platforms, participate in interactive sessions, build your personalized development roadmap, and explore our internal opportunities. Here, we focus on continuous learning and feedback to support your journey toward success – both personally and professionally. CULTURE: You will join a team of dedicated individuals who come together to break boundaries, support each other, and create a lasting impact on corporate well-being. We win together, cultivating trusting relationships through transparent communication and a culture where every perspective matters. Learn more about our values ​​and culture.