Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Physician Liaison effectively plans, analyzes, and implements outreach efforts in the market area. Develops and maintains relationships within the physician community to enhance lines of communication and build the referral base for Shriners Children’s. Conducts referral assessments to support strategic initiatives and identify opportunities and threats posed by competitive forces in the market area. This position reports to the Market Director of Planning and Business Development. This is a remote position covering the Salt Lake City, UT area. 75% regional travel to visit with provider practices and healthcare organizations. Responsibilities Cultivates new and existing referral relationships: - Markets Shriners Children’s directly to referring physicians, other healthcare providers, and physician offices via office visits, electronic media, professional meetings, continuing education or any other appropriate methods to effectuate new referral growth - Maintains existing referring relationships through exceptional customer service, communication and retention related activities. - Actively participates in regional and state professional provider organizations, attends, displays, and coordinates exhibits at associated events to generate leads. - Maintains complete and comprehensive Customer Relationship Management (CRM) record on existing and potential referring provider activity to increase effectiveness of communication and to serve as a basis for strategy development and new business opportunities. - Establishes and meets outreach activity production goals, as set forth by Market Director, and documents trends, successes, and problems to assess and analyze yield, driving process improvement. Utilizes marketing and communication techniques: - Using Definitive Healthcare and Sg2 data provided, analyzes and identifies primary, secondary, and tertiary referral sources and geographic opportunities to prioritize efforts and target meaningful new relationships in an effort to increase referral levels. - Evaluates payer mix and explores opportunities to support referral efforts. Develop and implement strategies based on payor opportunities. - Analyzes demographic and clinic activity linked to referring providers through market intelligence, to create strategic referral goals and determine outcomes and effectiveness. - Collaborates with market directors, Marketing & Communications, and appropriate Shriners Children's corporate staff to provide a consistent and effective marketing program through distribution of marketing collateral, alignment with marketing campaigns and communication of intelligence from the field. - Acts as a communication bridge between referring provider and Shriners Children's providers to maximize customer satisfaction. - Develops and presents feedback reports to market directors, and corporate leadership as required. - Collaborates with other physician referral liaisons across the system to execute the standard process for referral management, eliminate duplicative work, and share best practices. Identifies areas in the referral loop for performance improvement and barriers to success: - Maintains accurate record of referring physician complaints/issues in the CRM and works to ensure corrective action is taken by collaborating with facility partners and report results to market directors, facility leaders and the impacted physician. - Participates and confers with market directors, local facility department heads and various departments (Intake, HIM, Medical Staff, etc.) on process improvement in support of increased physician satisfaction concerning the referral process from first contact through patient discharge. - Communicates appropriately with the persons served regardless of their gender, age, ethnicity, race, creed, nationality or religious beliefs. - Performs other duties as required or assigned. This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Required: - 1 year of sales or marketing combined with 5 years of clinical background - or 2 years of healthcare sales/marketing experience - General medical knowledge especially related to organization services, treatment offerings and equipment - Experience with CRM/PRM tools - MS Office Suite proficiency - Ability to interpret market data - Bachelor's in Marketing or related field Preferred: - 2 years of healthcare sales/marketing experience

he Business EXL’s Castle High Value and Risk Control divisions are the nation’s leading residential and commercial insurance survey providers. Castle High Value provides replacement cost estimating and loss prevention services on high value homes for personal lines insurance carriers, and is the recognized leader in the industry. EXL Risk Control evaluates commercial businesses and their operations, documenting underwriting concerns and making recommendations for risk improvement. EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. https://www.exlservice.com/survey-and-risk-control Why Apply? · Competitive pay and benefits, including paid sick leave · Superb training program · Work from home · Flexible Work Hours · Career advancement opportunities · Excellent culture and team Pay Details: Total compensation for this position is targeted at $13-$15 per hour. The target total compensation consists of a base hourly wage plus performance-based incentive pay. Incentive Pay is driven by productivity, turn-around time and quality, and is not sales-based. EXL is looking for motivated and self-directed individuals with excellent customer service skills to schedule appraisal appointments with insurance policyholders and help homeowners submit their own home photos through our ASSIST self-survey product. All interested candidates are encouraged to submit their qualifications. We provide a robust training program that ensures success and rapid integration with a top-notch team of customer service professionals. Come join the EXL Survey and Risk Control team! For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits The Location This is a remote position based out of your home office, requiring no travel.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. - Validate denial reasons and ensure coding in DCM is accurate and reflects the denial reasons. - Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary. - Generate an appeal based on the dispute reason and contract terms specific to the payor, including online reconsiderations. - Follow specific payer guidelines for appeals submission. - Escalate exhausted appeal efforts for resolution. - Work on payer projects as directed. - Research contract terms/interpretation and compile necessary supporting documentation for appeals. - Address Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues and refer to refund unit on overpayments. - Perform research and make determination of corrective actions, taking appropriate steps to code the DCM system and route account appropriately. - Escalate denial or payment variance trends to NIC leadership team for payor escalation. Qualifications - High School Diploma or equivalent, some college coursework preferred. - 3 - 5 years experience in a hospital business environment performing billing and/or collections. Requirements - Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements. - Intermediate knowledge of hospital billing form requirements (UB-04). - Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology. - Intermediate Microsoft Office (Word, Excel) skills. - Advanced business letter writing skills to include correct use of grammar and punctuation. - Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. Physical Demands - Ability to sit and work at a computer terminal for extended periods of time. Work Environment - Call Center environment with multiple workstations in close proximity. Benefits - Medical, dental, vision, disability, and life insurance. - Paid time off (vacation & sick leave) – minimum of 12 days per year, accruing at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match. - 10 paid holidays per year. - Health savings accounts, healthcare & dependent flexible spending accounts. - Employee Assistance program, Employee discount program. - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act. Compensation - Pay: $18.60 - $28.00 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. - Conifer observed holidays receive time and a half.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. - Validate denial reasons and ensure coding in DCM is accurate and reflects the denial reasons. - Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary. - Generate an appeal based on the dispute reason and contract terms specific to the payor, including online reconsiderations. - Follow specific payer guidelines for appeals submission. - Escalate exhausted appeal efforts for resolution. - Work on payer projects as directed. - Research contract terms/interpretation and compile necessary supporting documentation for appeals. - Address Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues. - Refer overpayments to the refund unit. - Perform research and make determination of corrective actions, coding the DCM system and routing accounts appropriately. - Escalate denial or payment variance trends to NIC leadership team for payor escalation. Qualifications - High School Diploma or equivalent, some college coursework preferred. - 3 - 5 years experience in a hospital business environment performing billing and/or collections. Requirements - Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements. - Intermediate knowledge of hospital billing form requirements (UB-04). - Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology. - Intermediate Microsoft Office (Word, Excel) skills. - Advanced business letter writing skills to include correct use of grammar and punctuation. - Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. Physical Demands - Ability to sit and work at a computer terminal for extended periods of time. Work Environment - Call Center environment with multiple workstations in close proximity. Compensation and Benefits - Pay: $18.60 - $28.00 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. - Conifer observed holidays receive time and a half. - Medical, dental, vision, disability, and life insurance. - Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match. - 10 paid holidays per year. - Health savings accounts, healthcare & dependent flexible spending accounts. - Employee Assistance program, Employee discount program. - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.