Responsible for leading, developing, and overseeing the management of quality assurance including educational training on operational issues and the development of standard operating procedures to drive the overall quality and training strategy across all Satellite Patient Service Representative functions.
Compensation
$76,960.00-$125,840.00 Salary
Responsibilities
Leading, developing, and overseeing quality assurance management
Developing and maintaining satellite processes and operating procedures
Managing onboarding and training for Patient Service Representative Staff for Ambulatory Satellite Services
Monitoring and improving Patient Service Representative productivity and quality performance
Collaborating with Training teams for development of training and monitoring SOPs
Requirements
Bachelor’s degree in Healthcare or Business related field
Virtual Utilization Review Specialist with at least 1 year Denials Management experience to join our team.
Compensation
Salary Range: $63,100 - $94,650 annually, dependent upon experience, education, certifications, and overall qualifications.
Responsibilities
Utilizes proactive triggers (diagnoses, cost criteria, and complications) to identify potential over/under utilization of services
Initiates appropriate referral to physician advisor in a timely manner
Understands proper utilization of health care resources and assists with identifying barriers to patient progress and collaborates with the interdisciplinary team
Collaborates with financial clearance center, patient access, financial counselors and/or business office regarding billing issues related to third party payers
Conducts medical necessity review of all admissions. Utilizes approved clinical review criteria to determine medical necessity for admissions including appropriate patient status and continued stay reviews, possibly from an offsite location
Requirements
Bachelor's Degree or equivalent experience
Specialty/Major: Nursing or related field
Nice to have: Utilization review/discharge planning experience
Nice to have: Recent experience or working knowledge of medical necessity review criteria
Nice to have: Current working knowledge of quality improvement processes
We’re looking for an SAP ABAP Developer with 1-6 years of hands‑on experience in designing, developing, and optimizing SAP custom objects on ECC or S/4HANA.
Responsibilities
Design, develop, and unit test ABAP objects: reports, interfaces, conversions, enhancements, forms (RICEF).
Build and maintain BAPIs, BAdIs, User Exits, Enhancements (Implicit/Explicit), Enhancement Spots, and Business Object Enhancements.
Develop ALE/IDoc interfaces, work with OData integrations.
Create and optimize Open SQL, ABAP OO, AMDP/CDS-based logic for S/4HANA compatibility and performance.
Develop forms using Adobe Forms and Smart Forms; handle SAP Script where needed.
Requirements
Nice to have: SAP Fiori (UI5 consumption of OData)
Nice to have: Workflow
Nice to have: BRFplus
Nice to have: S/4HANA Conversion experience (Custom code remediation using ATC/SPAU/SPDD)
Nice to have: Domain exposure (MM/SD/FI/PP/QM/WM/EWM)
Admits clients to the hospital, collects information, processes registrations, verifies insurance, and ensures accurate patient registration and financial transactions.
Responsibilities
Admits clients to the hospital, collecting information and deposits
Completes forms and obtains signatures
Scans ID cards/documents and updates ADT systems
Ensures efficient and accurate patient registration
Greets patients and provides necessary information
Requirements
High School Diploma or GED
Nice to have: 1 year experience at a medical office or nursing home facility
Lead new enterprise growth by hunting and closing new‑logo business across non‑national health plans, health systems, HIEs, and technology partners.
Compensation
Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.
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