• Provide workflow support to the AR team to help meet or exceed key performance indicators • Support the development and implementation of any needed procedures to help maintain a streamlined, efficient organization • Support the development AR Specialists through training, empowerment, delegation and mentoring • Meet or exceed client deadlines and expectations • Manage new projects and client practices to ensure success in meeting objectives • Contribute to organizational success through sharing of knowledge and successes with operations team peers • Complete other duties as assigned

Role Description The Revenue Cycle Representative administers the full cycle billing for the specialized areas of skilled nursing, home health or hospice. The Representative understands the overall workflow of the revenue cycle process and collaborates with clinical teams to ensure the services aligned with the billable charges, as well as ensure the proper documentation has been completed and submitted per payer guidelines. Key Responsibilities - Completes insurance verifications and identifies terming approvals - Monitors and tracks documentation, authorization renewals and benefits exhaustion - Ensures the Common Working File is properly updated with services provided - Reviews, corrects and updates claims based on edits to support accurate and compliant claims submissions - Completes claim follow-up, denials, appeals and corrections - Completes medical records requests by payers - Completes daily, weekly and monthly reporting as assigned by leadership to ensure proper and compliant claims processing - Pursues collections of unpaid self-pay/private pay balances - Processes and submits monthly patient statements - Performs self-pay/private-pay collections calls, sends collections letters on past due accounts - Collaborates with clinical staff to resolve complex billing issues - Completes payment posting, corrects posting errors, researches credits and reconciles posting errors - Provides support to the clinical team regarding payer questions, tools and resources, assisting with problem solving as needed Qualifications - 2+ years of experience in healthcare billing, pre-services, accounting or financial analysis Preferred Qualifications - Associate or bachelor’s degree in healthcare administration, finance, business administration, accounting or a related field preferred or commensurate professional experience - 2+ years of healthcare revenue cycle experience Compensation Range $19.28 - $28.92 Benefits - Medical, dental, vision, life, and disability insurance - Supplemental options to fit your needs - 401(k) plan with employer contributions - Professional development through training, tuition reimbursement, and educational programs - Flexible scheduling - Generous time off - Wellness resources focused on physical, mental, and emotional health

Role Description The Access Coordinator gathers necessary insurance information and uses expertise to translate the information provided by the patient/guarantor into the computer system, resulting in accurate claim submissions. May be responsible for some or all of the following: - Insurance verification - ICD 10 or HCPC code selection - Prior authorization - Pre-certification - Medical necessity determination - Referrals - Workers compensation authorization - Service estimates - Patient communication when services are not covered - Pre-service collections Qualifications - 1 year of relatable healthcare experience Requirements - Prepares and submits payer-specific prior authorizations and referrals in alignment with relevant guidelines and medical policy criteria - Accurately identifies required insurance verification and medical documentation in accordance with payer policy - Collaborates with clinicians and medical practitioners to obtain all necessary information for successful authorization approval - Thoroughly documents all interactions and actions related to insurance processes within the electronic Medical Record (EMR) system - Regularly reviews and monitors assigned work queues, identifying and focusing on accounts with the highest financial reimbursement risk - Adapts to urgent clinical needs while maintaining high-quality work outputs within specified timelines - Communicates with patients as needed to facilitate medical clearance - Develops pre-service estimates and supports pre-service collections - Supports the review of prior authorization requests that do not initially meet criteria and works collaboratively with relevant stakeholders to resolve issues or coordinate necessary clinician-to-health plan interventions Benefits - Medical, dental, vision, life, and disability insurance - Supplemental options to fit your needs - 401(k) plan with employer contributions - Professional development through training, tuition reimbursement, and educational programs - Flexible scheduling - Generous time off - Wellness resources focused on physical, mental, and emotional health

• Apply advanced analytical and statistical techniques to identify root causes of Third-Party payer issues • Validate data accuracy and completeness using SQL and internal reporting tools • Translate complex findings into clear, actionable recommendations for leadership • Collaborate cross-functionally to prevent recurrence of payer issues • Maintain regular and predictable attendance and perform additional duties within role scope