• Responsible for utilization review calls within BHS, including precertification, continued stay review, discharge reviews, and retrospective reviews and appeals. • Works closely with business office staff, clinical staff, and physicians to advocate for BHS patients with insurance and managed care companies. • Communicates insurance input to physicians and clinical staff making discharge plans for patients. • Assists clinical staff with assessments as needed, primarily as in a back-up capacity. • Communicates daily with Utilization Review Coordinator, and as needed with business office and admissions staff to understand admissions and transfers, patient benefit information, and precertification status. • Understands health care benefit plan provisions and managed care contracting. • Communicates and coordinates efforts at appealing unfavorable utilization review decisions.

• Performs clinical chart reviews and audits to ensure accuracy and compliance with HEDIS measures. • Develops reports to identify HEDIS care gaps and trends and works closely with providers to ensure the necessary services are provided and documented according to HEDIS requirements. • Assists in the coordination of outreach efforts to request, collect, and secure clinical documentation from individual providers or provider groups as indicated by individual HEDIS measure specifications. • Collaborates with health plan departments to identify HEDIS data sources and develop systems to capture this data in accordance with HEDIS technical specifications, such as supplemental databases. • Collaborates with data analysts and quality teams to support performance improvement. • Documents findings and recommends strategies to improve HEDIS measure performance. • Applies clinical expertise to identify and validate data discrepancies. • Educates non-clinical staff on HEDIS requirements and clinical relevance of data. • Corresponds with members and clinical providers to effectively coordinate care, obtain medical records, and ensure patients receive preventive and chronic disease management services.

• Preparing, reviewing, and filing legal documents • Managing foreclosure files and tracking case progress • Communicating with clients, courts, vendors and other outside parties in a courteous and effective manner. • Data entry, document processing, and file maintenance • Supporting attorneys and other team members with daily tasks • Ensuring compliance with state and federal regulations • Performing general administrative duties as needed • Developing and maintaining congenial relationships with business associates and clients. • Consistently and accurately updating the firm’s internal case management system, as well as all client systems. • Providing exceptional customer service to clients at every level of interaction. • Performing other duties and responsibilities as needed.

• Title Review for states in our legal footprint • Highlighting specific experience in Title Review and Title Curative matters • Managing multiple tasks and prioritizing effectively • Communicating title issues within a client case management platform • Analyzing title documents and legal descriptions of the property • Navigating and researching online county records • Maintaining production levels on a daily basis • Comfortable working independently and as part of a team