Billing Specialist II

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

  • Processing and clearing TES and BAR edits to ensure clean claims going out.
  • Contacting surgeon/facilities to confirm billing information.
  • Running eligibility on a variety of insurance portals.
  • Confirming authorizations, etc. in hospital portal

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

  • Healthcare/RCM experience
  • Professional communication skills, both verbal and written

EDUCATION/TRAINING/EXPERIENCE:

  • High School diploma
  • Healthcare/RCM experience a must
  • Anesthesia knowledge is a bonus
  • Payment posting experience preferred 

Systems Administrator

  • The responsibility includes the day to day tasks necessary to facility the thousands of contact attempts daily (manual calls, predicitive campaigns, texting, emails and ringless messaging).
  • Monitor real time campaign management to optimize performance by reviewing call volumes and determining the telephony strategies including routing for call handling, outbound call pacing and call selection in adherence with compliance and department goals .
  • Project manage system redesigns and improvements including contacting necessary 3rd parties such as vendors, consultants, and internal resources such as IT and Compliance areas. Support and execute the build, test, and deployment of any required customizations, functionality changes or additions.
  • Deploy, maintain, and enhance integrations with other applications / systems, ensuring data integrity and system compliance.
  • Document current state and process/system updates to facilitate compliance requests, client inquiries and cross-training of operations staff.
  • Perform other duties as assigned.

Supervisory Responsibility

  • No

Position Specifications

  • Bachelor of Science in Information Technology, Computer Science, Business, or similar discipline or equivalent combination of education and experience required. 
  • Five (5) years system administration or analysis with minimum two (2) years SQL experience required.
  •  Two (2) year administration experience with Telrock systems (Optimus) required. 
  • Two (2) years collections operations experience required. 
  • Two (2) years call center system administration/operations experience preferred.

Knowledge, Skills, & Abilities

  • Demonstrate behaviors based on PSCU values: Excellence, Innovation, Leadership, Passion, Trust, and Diversity, Equity, & Inclusion
  • Programming capabilities strongly preferred
  • Ability to communicate effectively at a high level in both verbal and written formats and give presentations utilizing various audiovisual support aids
  • Ability to manage multiple technical projects, work in fast-paced environment, and meet deadlines
  • Demonstrated excellent analytical and quantitative skills

 GoDaddy 

With GoDaddy, small to medium sized businesses have a one-stop shop to grow their business online. As a Product Designer, you’ll work with a collaborative team of product managers and engineers to build engaging workflows that help SMBs streamline communications and save time. You can have a major impact not only on the 20+ million SMBs that we serve today but also on the global SMB market that we are targeting for growth.

What you’ll get to do…

  • Lead all aspects of GoDaddy Conversations application design: any concept you build will be brand-consistent across all mobile experiences that our company provides to our end users
  • Collaborate with key stakeholders in defining problem statement, scope, target audience etc.
  • Develop intuitive, usable, and engaging interactions and visual designs
  • Leverage User Testing, Usability Hub etc. to validate design with target audience as vital and share findings with collaborators
  • Contribute/participate in mobile design system while representing your target audience & product areas
  • Stay abreast of UX trends and look for creative ideas and inspiration in parallel analogous worlds
  • Research and track advancements in mobile application design patterns

Your experience should include…

  • 3+ years of experience designing mobile applications for both iOS and Android
  • An excellent understanding of user-experience design for mobile and the web, technology trends, demonstrable design skills, and ability to show relevant work
  • Advanced skills in Figma and other relevant design tools
  • A deep understanding of Apple’s human interface design guidelines, Android design and other mobile platform designs, including Google’s material design

Data Architect

To be successful, you must demonstrate a passion for data and analytics innovation and advancing the company’s data culture.  Medical Device or Healthcare industry expertise is not a requirement for their role, but a preference.  Liberator Medical is seeking an innovator whose expertise is in implementing cutting-edge analytical solutions.

The ideal candidate fosters teamwork and can build strong interpersonal relationships with the Operations teams, Technology teams, Leadership, and Stakeholders with a focus on building the right functionality in the right order and helping overcome obstacles.  The successful candidate must be highly analytical, detail-oriented, and naturally curious with the ability to improvise and develop creative solutions when common approaches fail.  The candidate possesses a strong value of pragmatism over idealism in times of uncertainty with a perpetual curiosity and passion for honing your craft.

PRIMARY DUTIES AND RESPONSIBILITIES

Define the standards, procedures, models, and technologies that will implement the company’s digital data strategy

Design platform capabilities to ensure high availability for the organization’s Data Platform and its associated applications

Design data integration solutions to manage the flow of data between systems and applications

Optimize data systems for AI performance, ensuring seamless integration with AI applications.

Develop and maintain an architecture roadmap in support of long-term strategic initiatives

Evaluate new technologies, perform proof-of-concepts, and make recommendations for adoption

Monitor system performance, identify issues related to performance, scalability, and reliability, and design solutions to remediate

Displays strong thought leadership in pursuit of modern architecture principals and technology modernization

Partner with IT, Data Governance, and subject matter experts to create and deploy effective data quality monitors and to advocate for strong data governance.

Create a partnership with Software Engineering and direct adoption of standards and best practices

Develop data-driven solutions to difficult business challenges

Ensure healthcare information security best practice controls are in place and they adhere to HIPAA utilizing a common control framework (i.e. NIST, HITRUST)

Partner with Marketing to design, test, measure and refine strategies focused on driving customer acquisition, retention, reactivation, frequency, spend and lifetime value

Develop master data management (MDM) strategies to collect, maintain, and leverage data for common business entities

Develop metadata management strategies to collection, maintain, and leverage application and system metadata

ANCILLARY DUTIES AND RESPONSIBLITIES

Provide technical guidance, mentoring, and coaching to data and application engineers

Implement reliable and scalable automation solutions using out of box thinking, delivering high quality user experiences

Partner with vendors to ensure we are maximizing the benefits of our systems and tools.


REPORTING RELATIONSHIP RESPONSIBILITIES

_X__ No supervisory responsibilities

____ Provides work direction only

____ Provides work direction plus has responsibility for hiring, promotions, transfers, performance management, discipline, and discharge.

MINIMUM REQUIREMENTS OR QUALIFICATIONS (To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)

Education/Experience:

Bachelor’s degree in Business, Computer Science, Software Engineering, Mathematics, MIS or related field preferred

Database knowledge: Snowflake, PostgreSQL, Elasticsearch, Azure Synapse, Azure Data Lake

Data streaming and CDC technologies: Kafka, FiveTran, Databricks

Data visualization tools and frameworks: Power BI, Tableau, Looker

Experience with AI/ML engineering

Knowledge of SaaS / PaaS / IaaS / DaaS platforms (AWS, GCP, Azure) including Infrastructure as code with Terraform, or similar, utilization

Expert knowledge of best security practices for cloud apps

Expert with CI/CD pipelines

Experience with understanding HIPAA/HITECH regulations and guidelines for securing ePHI & PII data

Proven ability to facilitate cross-functional teams to develop, document and improve processes

Senior Front End Developer

  • Collaborate with our product and development teams to scope out features
  • Develop features using ReactJS and NodeJS
  • Build reusable components and front-end libraries
  • Translate designs/wireframes into high quality code
  • Optimize components that can render large amounts of data quickly and work across all browsers
  • Mentor junior members and help them grow with peer reviewed code and guidance

Requirements

  • Bachelor’s degree in Computer Science, Engineering, or a related field (or equivalent work experience).
  • Strong proficiency in JavaScript
  • Thorough understanding of ReactJS and its core principles
  • Strong understanding of state management (Redux)
  • Familiarity with latest specifications of EcmaScript
  • Experience with data structure libraries
  • Experience with JWT and authorization
  • Familiarity with front-end build pipelines and tools
  • Experience with NPM
  • Ability to understand business requirements and translate them into technical requirements
  • Experience with version control (GIT)
  • Familiarity with jQuery, jQuery UI a plus
  • Familiarity with PHP a plus but not required