• Manage IDX paperwork and reporting for Ylopo clients to ensure compliance with MLS boards • Maintain existing documentation and build new documentation (Google Sheets/Docs/Excel Spreadsheets) based on internal organization of MLS boards and their related IDX feeds • Review and report IDX feed technical issues to MLS boards and vendor contacts • Respond (via phone/email/text) to all client and/or MLS board requests in a timely manner (2 hour TAT) to provide a high level of customer support • Speak confidently and professionally with MLS board representatives, clients, and brokers • Complete special projects and outbound calls as needed • Serve as subject matter expert for Ylopo MLS/IDX data feed process • Learn the ins and outs of Ylopo product

• The Sr Payer Relations Specialist will focus on increasing collections from insurance companies by effectively managing payor follow-up and appeals of denied claims. • This position will analyze and resolve payor reimbursement issues through in-depth research and analysis of claim data, payor policies, regulations, and coverage criteria. • This position will work in collaboration with the Market Access team, other cross-functional partners and Adaptive’s revenue cycle providers to develop and implement strategies for achieving maximal reimbursement and cash recovery from commercial payors. • This role will help manage the operational and administrative processes for coding, billing, and payor follow-up - including overseeing appeals, development requests, and payor projects. • Communicate effectively with payors and internal stakeholders to resolve reimbursement issues and ensure optimal payment for Adaptive’s clinical products. • Support revenue and ASP growth in collaboration with the Market Access team and external billing vendor • Stay current with payor policy changes and regulations to ensure accurate and timely reimbursement of claims. • Provide support and guidance to clinical and administrative staff on reimbursement and compliance issues. • Review claims and supporting clinical documents for billing and coding accuracy. • Remains knowledgeable on third-party requirements, and regulatory guidelines at the federal, state, and local levels • Support reduction in denials percentage, claims underpayments and time to adjudication. • Work with data analytics and revenue operations team to refine analytical tools that support process efficiencies and data-driven insights. • Generate and analyze reports to identify trends, areas for improvement and potential revenue opportunities. • Monitor and maintain accurate and up-to-date payor contract information in billing systems.

• AoPS Online offers rigorous, high-quality math and other STEM classes for middle and high school students which expand and deepen their scientific thinking. • Mentoring feedback for students preparing for math contests. • Answering questions, providing hints, and encouragement in real time during live text-based classes.

Role Description Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective to various Health Plans. - This position requires open availability between Monday through Sunday, 8 A - 8 P. - You would be scheduled for 5 shifts per week. - This is a remote position for CA-licensed nurses. - Candidates may reside in any state, but will be required to work PST. We are seeking nurses with at least one year of outpatient OR inpatient Utilization Management experience in a fast-paced setting. - Our Values: - Put Patients First - Empower Entrepreneurial Provider and Care Teams - Operate with Integrity & Excellence - Be Innovative - Work As One Team Qualifications - Active and unrestricted LVN license in CA. - At least one year of outpatient UM experience. - Experience with Microsoft applications such as Word, Excel, and Outlook. Requirements - At least two years of health plan, IPA or MSO experience. - Strong interpersonal skills. - Ability to collaborate with co-workers, senior leadership, and other management. - Experience educating and training staff. Benefits - This is a remote position. - Candidates who live within a 30 mile radius of the office may be expected to work hybrid. - Typical business hours are Monday - Friday from 8:30 AM to 5 PM. - This position requires open availability between 8 AM - 8 PM PST, M-Su. - Your schedule will be comprised of 5 shifts per week. - Nurses rotate weekend and holiday coverage. - Overtime is required in this position. - The national target pay range for this role is $34.00 - $42.00 per hour. - Actual compensation will be based on job level, geographic location (current or future), experience, and other job-related factors. Company Description Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.