• Review and analyze denied claims to determine the basis for denial and assess appeal potential. • Communicate with healthcare providers and insurance representatives to gather necessary documentation for appeals. • Ensure all payor required documentation is submitted with each appeal and tracked in billing system. • Monitor and follow up on submitted appeals to ensure timely resolution. • Apply healthcare regulations, payor policies, and coding guidelines to maintain compliance in the appeals process. • Identify and analyze denial trends, recommending process improvements to reduce future denials. • Research payor-specific appeal processes to ensure proper steps are followed. • Collaborate with clinical teams, market access and insurances representatives to resolve appeals issues.

Role Description MEDvidi is seeking an experienced Board-Certified Psychiatrist (MD/DO) to join our growing telehealth practice. This is a fully remote, 1099 contractor opportunity offering flexible scheduling, a consistent patient flow, and a highly supported clinical environment. We're looking for psychiatrists who hold licenses in multiple states and are eligible to serve as a collaborating/supervising physician for Psychiatric Mental Health Nurse Practitioners (PMHNPs) where required. At MEDvidi, we provide comprehensive mental health evaluations and treatment for adult patients experiencing conditions such as ADHD, anxiety, depression, insomnia, and mild-to-moderate OCD. Responsibilities - Conduct comprehensive psychiatric evaluations via telehealth - Diagnose and treat adult patients with ADHD, anxiety, depression, insomnia, OCD, and other common outpatient psychiatric conditions - Develop individualized treatment plans - Prescribe medications, including Schedule II-V controlled substances, in accordance with state and federal regulations - Maintain accurate and timely clinical documentation in the EMR - Complete chart notes and prescriptions within required timeframes - Collaborate with clinical leadership and operations teams to ensure high-quality patient care - Serve as a collaborating/supervising physician for PMHNPs where permitted and needed, providing clinical oversight in accordance with state regulations Qualifications - Board-Certified or Board-Eligible Psychiatrist (MD or DO) - Active, unrestricted medical licenses in multiple U.S. states (priority states preferred) - Eligible to serve as a collaborating/supervising physician for PMHNPs in applicable states - Active DEA registration with Schedule II prescribing authority - Minimum of 2 years of post-residency clinical experience in outpatient psychiatry - Experience treating adult patients via telehealth preferred - Experience prescribing controlled substances - Strong clinical judgment and comfort managing common outpatient psychiatric conditions - Ability to commit approximately 15+ hours per week to support patient continuity Equal Opportunity Employer MEDvidi is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and contractors. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

• Automate manual processes. • Build Make scenarios and Apps Script automations that remove repetitive work from teams across Contour. • Ship small internal tools. • Prototype and build practical tools, AI-assisted, that save real time, then get them into people's hands. • Improve what exists. • Maintain and extend the automations already running (resource pipeline, class schedule, printing operations) without breaking them. • Scope the real problem. • Talk to the team, understand how the work actually happens, and build for the real need rather than the first description. • Build safely.

Role Description Valley Hope is expanding our Admissions team by adding this new role of Admissions Specialist. This is a full-time work-from-home position; however, the ideal candidate will reside within an hour's drive of a Valley Hope facility. Valley Hope restores lives affected by addiction and supports lifelong recovery. Are you ready to join an organization where you can make an extraordinary impact, conquering addiction one patient and family at a time? If so, Valley Hope welcomes you! Functions as a key member of the Business Services team; works collectively to support the admissions needs of identified markets for residential and outpatient treatment facilities with an emphasis on prospective patients and securing VHA as their service provider. - Handles incoming admissions inquiries; serves as primary point of contact for prospective and incoming patients, families, and referral sources. - Conducts initial pre-admissions screening with a focus on gathering preliminary information to identify level of care/services needed and fit with VHA service. - Performs preliminary financial assessment with prospective patients; gathers necessary financial information and processes Verification of Benefits to pre-qualify prospective patients. - Schedules admissions appointments for patients; communicates admissions appointments with appropriate staff/departments. - Assists patients in completing administrative admissions process including obtaining necessary information in support of admissions appointments. - Refers inquiries to other agencies and community resources when prospective patients’ needs are not a fit with VHA services. - Creates and updates electronic records in identified data tracking/electronic medical records systems for prospective and incoming patients. - Performs follow-up calls in a timely manner to referral sources and prospective patients. - Performs medical records requests from referring providers and ensures compliance to HIPAA and 42 CFR Part 2 regulatory requirements. - Maintains information within identified systems on outside agencies/community resources. - Maintains oversight of bed tracking data including open beds, incoming patients for the day, and discharges for the day. - Performs various administrative duties in support of the admissions process and admissions team responsibilities. - Assists with quality assurance measures in support of continuous improvement efforts. - Maintains confidentiality of prospective and incoming patient data in accordance with HIPAA and 42 CFR Part 2 regulatory requirements. - Maintains working knowledge of applicable Valley Hope policies and processes, facility specific protocols, and regulatory requirements related to admissions functions of Business Services. Qualifications - Required: One (1) plus years of work experience in a similar position and/or healthcare environment. - Required: One (1) plus years of customer service experience. - Preferred: Associate degree. - Preferred: Two (2) plus years of work experience in behavioral healthcare environment and/or within the substance abuse treatment industry. - Preferred: Work experience as a Behavioral Healthcare Technician, Case Manager, or Peer Support Recovery Specialist. - Cardiopulmonary Resuscitation (CPR) certification. Requirements - Remote work expectations: employee should designate a quiet workspace free of outside distractions/noises. - Must be able to work non-typical hours including evenings and/or weekends based on operational needs. - Sitting for extended periods of time. Benefits - Medical coverage — Valley Hope pays up to 85% of premiums. - Dental & vision plans at competitive rates. - Up to 27 days of PTO (based on position and tenure). - 8 paid holidays (including a personal day). - Paid parental leave. - 401(k) with employer match. - Tuition assistance to grow your career. - Student loan repayment support. - Public Student Loan Forgiveness (PSLF) eligible employer. - HSA & FSA options to manage healthcare costs. - Employee Assistance Program (EAP) for added support. - And more perks designed with you in mind!