Role Description We are seeking Professional Physician Coders (Level II and III) for remote locations only: - Georgia - Iowa - Missouri - Nebraska - North Carolina - Tennessee - Texas - Utah - Wisconsin - Wyoming - Indiana The Collector serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution: - Completes assigned accounts within assigned work queues. - Obtains the maximum amount of reimbursement by evaluating claims at the contract rate using the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). - Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to Hoag. - Reviews and completes payor and/or patient correspondence in a timely manner. - Escalates to the payor and/or patient accounts that need to be appealed due to improper billing, coding and/or underpayments. - Reports new/unknown billing edits to direct supervisor for review and resolution. - Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations & admissions) through Patient Financial Services (billing & collections), including procedures and policies. - Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements. - Interprets Explanation of Benefits (EOBs) and Electronic Admittance Advices (ERAs) to ensure proper payment as well as assist and educate patients and colleagues with understanding of benefit plans. - Understanding of hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. - Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc.) and how these payors process claims. - Demonstrates knowledge of and effectively uses patient accounting systems. - Documents all calls and actions taken in the appropriate systems. - Accurately codes insurance plan codes. - Establishes a payment arrangement when patients are unable to pay in full at the time payment is due. - May review for applicable cash rates, special rates, applicable professional and employee discounts. - May process bankruptcy and deceased patient accounts. - Performs other duties as assigned. - Consistently meets individual productivity and quality assurance standards. - Performs other duties as assigned. - In addition to the above, the Collector II demonstrates proficiency in the functions mentioned above. - Assists in multiple areas, payors or departments. - Assists with special projects and/or additional tasks as needed. - Able to problem solve issues as they arise and independently research as needed for resolution. - Provides support and assists with training of peers as needed. - Exceeds individual productivity and quality assurance standards for at least 6 consecutive months. - No corrective action within the last 6 months. Company Description

• Build, maintain, and enhance dashboards and reports in Salesforce, Power BI, Tableau, and Excel to support revenue forecasting, pipeline visibility, and performance tracking • Analyze sales, marketing, and customer data to identify trends, risks, and opportunities across the revenue lifecycle • Support day-to-day Salesforce operations, including data hygiene, basic configuration, report creation, and user support • Partner with Sales, Marketing, Finance, and Customer Success teams to understand reporting needs and translate business questions into data insights • Assist with revenue forecasting, pipeline reviews, and KPI tracking • Document processes, definitions, and reporting logic to ensure consistency and scalability • Support ad hoc analysis and special projects related to revenue growth and operational efficiency • Help identify opportunities to improve tools, workflows, and data quality across revenue systems

• Serve as a senior revenue cycle leader and trusted advisor to health system executives, internal leadership team members, finance leaders, pharmacy leadership, and operational stakeholders on home infusion reimbursement performance, risks, and strategic opportunities. • Develop and execute the revenue cycle strategy for home infusion services, aligning operational performance, payer reimbursement requirements, cash acceleration, margin protection, and scalable growth objective. • Build and maintain strong relationships with health system executives and senior operators to ensure alignment on revenue cycle expectations, performance commitments, issue resolution, and long-term partnership goals. • Lead revenue cycle transformation initiatives across home infusion, including workflow redesign, automation, analytics, standardization, system optimization, and operating model improvements. • Manage core home infusion RCM functions, including billing, follow-up, denial management, collections, cash posting, and AR resolution. • Oversee reimbursement workflows for both pharmacy and medical benefit claims, including coordination of infusion drug, nursing, supplies, and ancillary service billing as applicable. • Monitor and improve key performance indicators such as DSO, aging, clean claim rate, first-pass yield, denial rate, cash collections, write-offs, and authorization-related reimbursement leakage. • Lead payor-specific billing and follow-up strategies for commercial, Medicare, Medicaid, managed Medicaid, and other government and contracted payors. • Partner with intake, clinical, and authorization teams to ensure accurate patient onboarding, coverage verification, prior authorization, and financial clearance processes. • Ensure timely identification, escalation, and resolution of billing edits, denials, underpayments, and documentation deficiencies. • Review AR trends and develop action plans to accelerate collections and reduce preventable denials. • Collaborate with client finance teams on cash forecasting, month-end close support, bad debt analysis, and reserve considerations related to revenue cycle performance. • Maintain strong knowledge of home infusion reimbursement rules, including payer policy requirements, Medicare and Medicaid billing considerations, and site-of-care reimbursement dynamics. • Support implementation and optimization of billing systems, workflow automation, reporting tools, and process controls. • Supervise, coach, and develop RCM staff; establish productivity standards and accountability mechanisms across the team. • Serve as a cross-functional partner to contracting, operations, and compliance on reimbursement issues, audit responses, and process redesign initiatives.

• You design and implement Revenue Operations processes: pipeline management, forecasting rhythms, governance structures, and operating cadences. • You build reporting infrastructures that leadership teams actually use. • You translate business requirements into CRM logic (Salesforce, HubSpot) and ensure data is clean, consistent, and decision-ready. • You lead revenue reviews, forecast calls, and QBRs, making them structured rather than ritualistic. • You work with multiple clients in parallel and independently manage priorities, stakeholders, and deliverables.